Provider Demographics
NPI:1790058055
Name:GOOD NEEDLES ACUPUNCTURE AND CHINESE HERBAL MEDICINE
Entity Type:Organization
Organization Name:GOOD NEEDLES ACUPUNCTURE AND CHINESE HERBAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:FRANCINE
Authorized Official - Last Name:BELT
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-881-1971
Mailing Address - Street 1:3333 S WADSWORTH BLVD UNIT D319
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5165
Mailing Address - Country:US
Mailing Address - Phone:303-881-1971
Mailing Address - Fax:303-773-7428
Practice Address - Street 1:3333 S WADSWORTH BLVD UNIT D319
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5165
Practice Address - Country:US
Practice Address - Phone:303-881-1971
Practice Address - Fax:303-747-4796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-17
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1384171100000X
261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty