Provider Demographics
NPI:1972011922
Name:NEEDLE TIME LLC
Entity Type:Organization
Organization Name:NEEDLE TIME LLC
Other - Org Name:CHRIS WITHEY ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:WITHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-520-9964
Mailing Address - Street 1:216 N ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2537
Mailing Address - Country:US
Mailing Address - Phone:509-520-9964
Mailing Address - Fax:888-727-6323
Practice Address - Street 1:216 N ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2537
Practice Address - Country:US
Practice Address - Phone:509-520-9964
Practice Address - Fax:888-727-6323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60250942171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty