Provider Demographics
NPI:1922372200
Name:EMERGING ENERGY ACUPUNCTURE, LLC
Entity Type:Organization
Organization Name:EMERGING ENERGY ACUPUNCTURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CLAIRE
Authorized Official - Last Name:DILKS
Authorized Official - Suffix:
Authorized Official - Credentials:DAC
Authorized Official - Phone:401-228-8160
Mailing Address - Street 1:14 IMPERIAL PL # 202D
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4638
Mailing Address - Country:US
Mailing Address - Phone:401-228-8160
Mailing Address - Fax:
Practice Address - Street 1:14 IMPERIAL PL # 202D
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4638
Practice Address - Country:US
Practice Address - Phone:401-228-8160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-03
Last Update Date:2012-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDA00223171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty