Provider Demographics
NPI:1528439056
Name:ON POINT ACUPUNCTURE, PLLC
Entity type:Organization
Organization Name:ON POINT ACUPUNCTURE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KACY
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:KORCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:304-890-8020
Mailing Address - Street 1:21 MALLARD COURT
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801
Mailing Address - Country:US
Mailing Address - Phone:304-890-8020
Mailing Address - Fax:681-207-7029
Practice Address - Street 1:21 MALLARD COURT
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801
Practice Address - Country:US
Practice Address - Phone:304-890-8020
Practice Address - Fax:681-207-7029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV96223171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty