Provider Demographics
NPI:1932520798
Name:SEATTLE ACUPUNCTURE AND COACHING, PLLC
Entity Type:Organization
Organization Name:SEATTLE ACUPUNCTURE AND COACHING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DORFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EAMP
Authorized Official - Phone:301-775-6326
Mailing Address - Street 1:3302 FUHRMAN AVE E STE 110
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-7115
Mailing Address - Country:US
Mailing Address - Phone:301-775-6326
Mailing Address - Fax:206-588-0795
Practice Address - Street 1:3302 FUHRMAN AVE E STE 110
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-7115
Practice Address - Country:US
Practice Address - Phone:301-775-6326
Practice Address - Fax:206-588-0795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-21
Last Update Date:2013-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60263618171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty