Provider Demographics
NPI:1851987036
Name:RALEIGH ACUPUNCTURE INC
Entity Type:Organization
Organization Name:RALEIGH ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINOFF
Authorized Official - Suffix:
Authorized Official - Credentials:LIC AC
Authorized Official - Phone:919-815-8115
Mailing Address - Street 1:5530 MUNFORD RD STE 109
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-2638
Mailing Address - Country:US
Mailing Address - Phone:919-815-8115
Mailing Address - Fax:855-967-2993
Practice Address - Street 1:5530 MUNFORD RD STE 109
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-2638
Practice Address - Country:US
Practice Address - Phone:919-815-8115
Practice Address - Fax:855-967-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-12
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty