Provider Demographics
NPI:1821598277
Name:HEBELL ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:HEBELL ACUPUNCTURE LLC
Other - Org Name:RED MOUNTAIN ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATASCHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEBELL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:488-331-2246
Mailing Address - Street 1:3654 N POWER RD STE 128
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-9789
Mailing Address - Country:US
Mailing Address - Phone:480-331-2246
Mailing Address - Fax:
Practice Address - Street 1:3654 N POWER RD STE 128
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-9789
Practice Address - Country:US
Practice Address - Phone:480-331-2246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0818171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty