Provider Demographics
NPI:1912458837
Name:ALLISON CRAWFORD & DUNCAN MACDONALD ACUPUNCTURE, INC.
Entity Type:Organization
Organization Name:ALLISON CRAWFORD & DUNCAN MACDONALD ACUPUNCTURE, INC.
Other - Org Name:ORIGINS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-819-5352
Mailing Address - Street 1:3874 LYMAN RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-1845
Mailing Address - Country:US
Mailing Address - Phone:415-819-5352
Mailing Address - Fax:415-495-3946
Practice Address - Street 1:862 FOLSOM ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1123
Practice Address - Country:US
Practice Address - Phone:415-819-5352
Practice Address - Fax:415-495-3946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service