Provider Demographics
NPI:1598718488
Name:SUMMIT ACUPUNCTURE INC
Entity Type:Organization
Organization Name:SUMMIT ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VANNOSTRAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:330-929-4334
Mailing Address - Street 1:1708 MEMMAN RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313
Mailing Address - Country:US
Mailing Address - Phone:330-929-4334
Mailing Address - Fax:330-929-4353
Practice Address - Street 1:1708 MEMMAN RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313
Practice Address - Country:US
Practice Address - Phone:330-929-4334
Practice Address - Fax:330-929-4353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65000037171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty