Provider Demographics
NPI:1609342948
Name:ENSO ACUPUNCTURE & HERBAL WELLNESS LLC
Entity Type:Organization
Organization Name:ENSO ACUPUNCTURE & HERBAL WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO, CHIEF ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:NAOMI
Authorized Official - Middle Name:EIMEAR
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-917-9710
Mailing Address - Street 1:2635 KEARNEY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-3428
Mailing Address - Country:US
Mailing Address - Phone:303-917-9710
Mailing Address - Fax:
Practice Address - Street 1:1776 S JACKSON ST STE 615
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3803
Practice Address - Country:US
Practice Address - Phone:303-917-9710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-14
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service