Provider Demographics
NPI:1841991312
Name:CIRCLE MINDBODY ACUPUNCTURE LLC
Entity type:Organization
Organization Name:CIRCLE MINDBODY ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:BUP
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-210-5717
Mailing Address - Street 1:3090 S JAMAICA CT STE 308
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2628
Mailing Address - Country:US
Mailing Address - Phone:303-210-5717
Mailing Address - Fax:720-778-2297
Practice Address - Street 1:3090 S JAMAICA CT STE 308
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2628
Practice Address - Country:US
Practice Address - Phone:303-210-5717
Practice Address - Fax:720-778-2297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty