Provider Demographics
NPI:1083045777
Name:ACUPUNCTURE THERAPY & HERBAL CLINIC
Entity type:Organization
Organization Name:ACUPUNCTURE THERAPY & HERBAL CLINIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BEGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MSOM
Authorized Official - Phone:262-880-8807
Mailing Address - Street 1:5542 CAMBRIDGE LN UNIT 4
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:WI
Mailing Address - Zip Code:53406-2800
Mailing Address - Country:US
Mailing Address - Phone:262-880-8807
Mailing Address - Fax:
Practice Address - Street 1:1139 S SUNNYSLOPE DR STE 203
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53406-3998
Practice Address - Country:US
Practice Address - Phone:262-880-8807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI196-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty