Provider Demographics
NPI:1740917269
Name:AMERICAN ACUPUNCTURE LLC
Entity type:Organization
Organization Name:AMERICAN ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-539-3421
Mailing Address - Street 1:11195 SEABECK HWY NW UNIT B
Mailing Address - Street 2:
Mailing Address - City:SEABECK
Mailing Address - State:WA
Mailing Address - Zip Code:98380-9558
Mailing Address - Country:US
Mailing Address - Phone:360-837-5400
Mailing Address - Fax:360-837-5500
Practice Address - Street 1:11195 SEABECK HWY NW UNIT B
Practice Address - Street 2:
Practice Address - City:SEABECK
Practice Address - State:WA
Practice Address - Zip Code:98380-9558
Practice Address - Country:US
Practice Address - Phone:360-837-5400
Practice Address - Fax:360-837-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty