Provider Demographics
NPI:1609226257
Name:EARTH AND SKY ACUPUNCTURE
Entity Type:Organization
Organization Name:EARTH AND SKY ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENG
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:801-596-9998
Mailing Address - Street 1:2627 E PARLEYS WAY
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84109-1617
Mailing Address - Country:US
Mailing Address - Phone:801-596-9998
Mailing Address - Fax:
Practice Address - Street 1:2627 E PARLEYS WAY
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84109-1617
Practice Address - Country:US
Practice Address - Phone:801-596-9998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5602261251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health