Provider Demographics
NPI:1831823335
Name:WEST ACUPUNCTURE & WELLNESS
Entity type:Organization
Organization Name:WEST ACUPUNCTURE & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:F
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:MSTOM
Authorized Official - Phone:828-266-5658
Mailing Address - Street 1:184 REALTY ROW STE 4
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5260
Mailing Address - Country:US
Mailing Address - Phone:828-266-5658
Mailing Address - Fax:
Practice Address - Street 1:184 REALTY ROW STE 4
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5260
Practice Address - Country:US
Practice Address - Phone:828-266-5658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service