Provider Demographics
NPI:1912568544
Name:POINT OF LIGHT LLC
Entity Type:Organization
Organization Name:POINT OF LIGHT LLC
Other - Org Name:POINT OF LIGHT ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WICK
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:240-903-0826
Mailing Address - Street 1:804 SOMERSET PL NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1133
Mailing Address - Country:US
Mailing Address - Phone:347-257-0181
Mailing Address - Fax:
Practice Address - Street 1:4853 CORDELL AVE PH 10
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3036
Practice Address - Country:US
Practice Address - Phone:240-903-0826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty