Provider Demographics
NPI:1134815020
Name:HEALTHY PIN ACUPUNCTURE LLC
Entity type:Organization
Organization Name:HEALTHY PIN ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THI
Authorized Official - Middle Name:
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-787-0587
Mailing Address - Street 1:4041 UNIVERSITY DR STE 200D
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-3410
Mailing Address - Country:US
Mailing Address - Phone:516-787-0587
Mailing Address - Fax:
Practice Address - Street 1:4041 UNIVERSITY DR STE 200D
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3410
Practice Address - Country:US
Practice Address - Phone:516-787-0587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service