Provider Demographics
NPI:1619510666
Name:GV ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:GV ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOLSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-625-4575
Mailing Address - Street 1:210 W CONTINENTAL RD STE 132
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85622-3546
Mailing Address - Country:US
Mailing Address - Phone:520-625-4575
Mailing Address - Fax:520-333-2827
Practice Address - Street 1:210 W CONTINENTAL RD STE 132
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85622-3546
Practice Address - Country:US
Practice Address - Phone:520-625-4575
Practice Address - Fax:520-333-2827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty