Provider Demographics
NPI:1851868608
Name:FOXGLOVE ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:FOXGLOVE ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KHAIRUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BHAGWANDIN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, EAMP, LMT
Authorized Official - Phone:206-582-3471
Mailing Address - Street 1:5401 LEARY AVE NW STE 203
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4070
Mailing Address - Country:US
Mailing Address - Phone:206-582-3471
Mailing Address - Fax:206-582-3472
Practice Address - Street 1:5401 LEARY AVE NW STE 203
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4070
Practice Address - Country:US
Practice Address - Phone:206-582-3471
Practice Address - Fax:206-582-3472
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROOT OF MEDICINE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-30
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty