Provider Demographics
NPI:1851660575
Name:EQUILIBRIUM POINT ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:EQUILIBRIUM POINT ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:J
Authorized Official - Last Name:COYNER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-882-0477
Mailing Address - Street 1:P.O. BOX 923
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433
Mailing Address - Country:US
Mailing Address - Phone:303-882-0477
Mailing Address - Fax:303-697-4357
Practice Address - Street 1:12424 BIG TIMBER DR.
Practice Address - Street 2:UNIT 3
Practice Address - City:CONIFER
Practice Address - State:CO
Practice Address - Zip Code:80433
Practice Address - Country:US
Practice Address - Phone:303-882-0477
Practice Address - Fax:303-697-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1657171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty