Provider Demographics
NPI:1487250742
Name:SPIRIT LIGHT ACUPUNCTURE
Entity type:Organization
Organization Name:SPIRIT LIGHT ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE
Authorized Official - Prefix:
Authorized Official - First Name:ORNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMRANI
Authorized Official - Suffix:
Authorized Official - Credentials:MAC, LAC
Authorized Official - Phone:301-661-6762
Mailing Address - Street 1:11121 ROSEMONT DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3681
Mailing Address - Country:US
Mailing Address - Phone:301-661-6762
Mailing Address - Fax:
Practice Address - Street 1:11121 ROSEMONT DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3681
Practice Address - Country:US
Practice Address - Phone:301-661-6762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty