Provider Demographics
NPI:1831419233
Name:BALANCING ACUPUNCTURE, LLC
Entity type:Organization
Organization Name:BALANCING ACUPUNCTURE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CASHWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:720-545-4223
Mailing Address - Street 1:5921 MIDDLEFIELD RD STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2860
Mailing Address - Country:US
Mailing Address - Phone:720-545-4223
Mailing Address - Fax:720-746-9322
Practice Address - Street 1:5921 MIDDLEFIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2860
Practice Address - Country:US
Practice Address - Phone:720-545-4223
Practice Address - Fax:720-746-9322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1531171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO193400000XOtherTAXONOMY