Provider Demographics
NPI:1598595761
Name:GOLDEN MEAN ENTERPRISES
Entity type:Organization
Organization Name:GOLDEN MEAN ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LAC
Authorized Official - Phone:650-785-6888
Mailing Address - Street 1:550 TROY DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-1575
Mailing Address - Country:US
Mailing Address - Phone:650-785-6888
Mailing Address - Fax:
Practice Address - Street 1:718 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SCHOFIELD
Practice Address - State:WI
Practice Address - Zip Code:54476-1086
Practice Address - Country:US
Practice Address - Phone:650-785-6888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty