Provider Demographics
NPI:1922508373
Name:ACUPUNCTURE RI LTD.
Entity Type:Organization
Organization Name:ACUPUNCTURE RI LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DA
Authorized Official - Phone:401-261-6247
Mailing Address - Street 1:102 GANO ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-3807
Mailing Address - Country:US
Mailing Address - Phone:401-261-6247
Mailing Address - Fax:401-274-5921
Practice Address - Street 1:102 GANO ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3807
Practice Address - Country:US
Practice Address - Phone:401-261-6247
Practice Address - Fax:401-274-5921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-12
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDA00202261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center