Provider Demographics
NPI:1568856193
Name:ESSENTIAL ACUPUNCTURE
Entity Type:Organization
Organization Name:ESSENTIAL ACUPUNCTURE
Other - Org Name:ARLINGTON ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHAIR
Authorized Official - Prefix:MR
Authorized Official - First Name:YOUNGKWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:EAMP LAC
Authorized Official - Phone:206-706-7575
Mailing Address - Street 1:7815 GREENWOOD AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4633
Mailing Address - Country:US
Mailing Address - Phone:206-706-7575
Mailing Address - Fax:360-363-4041
Practice Address - Street 1:7815 GREENWOOD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-4633
Practice Address - Country:US
Practice Address - Phone:206-706-7575
Practice Address - Fax:360-363-4041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60126401171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty