Provider Demographics
NPI:1841679735
Name:SCHALBERG ACUPUNCTURE AND HERBAL MEDICINE
Entity type:Organization
Organization Name:SCHALBERG ACUPUNCTURE AND HERBAL MEDICINE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SCHALBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:585-298-2417
Mailing Address - Street 1:565 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-3688
Mailing Address - Country:US
Mailing Address - Phone:585-298-2417
Mailing Address - Fax:
Practice Address - Street 1:565 UNIVERSITY AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-3688
Practice Address - Country:US
Practice Address - Phone:585-298-2417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-25
Last Update Date:2015-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK145171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty