Provider Demographics
NPI:1831454305
Name:APPLE BLOSSOM HEALTH, INC
Entity type:Organization
Organization Name:APPLE BLOSSOM HEALTH, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYER-MORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSOM, LAC
Authorized Official - Phone:303-377-1365
Mailing Address - Street 1:8435 W 80TH AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4378
Mailing Address - Country:US
Mailing Address - Phone:303-377-1365
Mailing Address - Fax:303-377-1398
Practice Address - Street 1:8435 W 80TH AVE UNIT A
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-4378
Practice Address - Country:US
Practice Address - Phone:303-377-1365
Practice Address - Fax:303-377-1398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1281171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty