Provider Demographics
NPI:1932657590
Name:AITKIN ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:AITKIN ACUPUNCTURE LLC
Other - Org Name:AITKIN ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:TWOMEY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:218-670-0599
Mailing Address - Street 1:38400 DOVE ST
Mailing Address - Street 2:
Mailing Address - City:AITKIN
Mailing Address - State:MN
Mailing Address - Zip Code:56431-2191
Mailing Address - Country:US
Mailing Address - Phone:218-670-0599
Mailing Address - Fax:
Practice Address - Street 1:601 BUNKER HILL DR
Practice Address - Street 2:
Practice Address - City:AITKIN
Practice Address - State:MN
Practice Address - Zip Code:56431-1864
Practice Address - Country:US
Practice Address - Phone:218-670-0599
Practice Address - Fax:218-216-8986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1769171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty