Provider Demographics
NPI:1972058105
Name:SUMMIT HEALTH & WELLNESS CENTER PLLC
Entity Type:Organization
Organization Name:SUMMIT HEALTH & WELLNESS CENTER PLLC
Other - Org Name:ACUPUNCTURE & CHINESE HERBS INTEGRATIVE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZANG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:720-920-9195
Mailing Address - Street 1:6851 S HOLLY CIR STE 180
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1073
Mailing Address - Country:US
Mailing Address - Phone:720-920-9195
Mailing Address - Fax:720-638-4699
Practice Address - Street 1:6851 S HOLLY CIR STE 180
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1073
Practice Address - Country:US
Practice Address - Phone:720-920-9195
Practice Address - Fax:720-638-4699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007216111N00000X
111N00000X, 261QH0100X
COACU.0002218171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty