Provider Demographics
NPI:1659788982
Name:THE PINWHEEL COMMUNITY ACUPUNCTURE PROJECT
Entity Type:Organization
Organization Name:THE PINWHEEL COMMUNITY ACUPUNCTURE PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:RIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:530-345-5566
Mailing Address - Street 1:740 FLUME ST
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-5612
Mailing Address - Country:US
Mailing Address - Phone:530-345-5566
Mailing Address - Fax:
Practice Address - Street 1:740 FLUME ST
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5612
Practice Address - Country:US
Practice Address - Phone:530-345-5566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13663261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health