Provider Demographics
NPI:1790010072
Name:KLIMICK ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:KLIMICK ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GIGI
Authorized Official - Middle Name:KLIMICK
Authorized Official - Last Name:PEREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:513-834-8173
Mailing Address - Street 1:10979 REED HARTMAN HWY
Mailing Address - Street 2:SUITE 129
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2800
Mailing Address - Country:US
Mailing Address - Phone:513-834-8173
Mailing Address - Fax:
Practice Address - Street 1:10979 REED HARTMAN HWY
Practice Address - Street 2:SUITE 129
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-2800
Practice Address - Country:US
Practice Address - Phone:513-834-8173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000160171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty