Provider Demographics
NPI:1790930295
Name:ACUPUNCTURE & HERBAL CLINIC, INC
Entity Type:Organization
Organization Name:ACUPUNCTURE & HERBAL CLINIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGUE
Authorized Official - Suffix:
Authorized Official - Credentials:LIC AC
Authorized Official - Phone:978-921-1011
Mailing Address - Street 1:100 CUMMINGS CTR
Mailing Address - Street 2:SUITE 335D
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6115
Mailing Address - Country:US
Mailing Address - Phone:978-921-1011
Mailing Address - Fax:978-921-0230
Practice Address - Street 1:100 CUMMINGS CTR
Practice Address - Street 2:SUITE 335D
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6115
Practice Address - Country:US
Practice Address - Phone:978-921-1011
Practice Address - Fax:978-921-0230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty