Provider Demographics
NPI:1295350056
Name:EVERYBODY HEALING CENTER LLC
Entity type:Organization
Organization Name:EVERYBODY HEALING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:STEWART
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DCM, LAC
Authorized Official - Phone:612-275-2233
Mailing Address - Street 1:8085 WAYZATA BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55426-1472
Mailing Address - Country:US
Mailing Address - Phone:612-567-2270
Mailing Address - Fax:
Practice Address - Street 1:8085 WAYZATA BLVD STE 10
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55426-1472
Practice Address - Country:US
Practice Address - Phone:612-567-2270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-08
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty