Provider Demographics
NPI:1609100890
Name:BLACK PEARL ACUPUNCTURE INC
Entity Type:Organization
Organization Name:BLACK PEARL ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTLE
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:412-576-2461
Mailing Address - Street 1:14 VISTA PALM LN
Mailing Address - Street 2:UNIT 107
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-0845
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14 VISTA PALM LN
Practice Address - Street 2:UNIT 107
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-0845
Practice Address - Country:US
Practice Address - Phone:412-576-2461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2557171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty