Provider Demographics
NPI:1588910442
Name:ACUPUNCTURE & HERB CENTER, INC.
Entity type:Organization
Organization Name:ACUPUNCTURE & HERB CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:XU
Authorized Official - Middle Name:
Authorized Official - Last Name:HOU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC; DOM
Authorized Official - Phone:920-832-8888
Mailing Address - Street 1:2911 N BALLARD RD
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-8705
Mailing Address - Country:US
Mailing Address - Phone:920-832-8888
Mailing Address - Fax:920-882-8888
Practice Address - Street 1:2911 N BALLARD RD
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-8705
Practice Address - Country:US
Practice Address - Phone:920-832-8888
Practice Address - Fax:920-882-8888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service