Provider Demographics
NPI:1922555614
Name:ACUPUNCTURE IN NATURE
Entity Type:Organization
Organization Name:ACUPUNCTURE IN NATURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTKER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, MC
Authorized Official - Phone:415-521-8133
Mailing Address - Street 1:124 GLEN DR
Mailing Address - Street 2:
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-2029
Mailing Address - Country:US
Mailing Address - Phone:415-521-8133
Mailing Address - Fax:
Practice Address - Street 1:3030 BRIDGEWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:SAUSALITO
Practice Address - State:CA
Practice Address - Zip Code:94965-2810
Practice Address - Country:US
Practice Address - Phone:415-521-8133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACUPUNCTURE IN NATURE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14758171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty