Provider Demographics
NPI:1902626724
Name:ENCHANTMENT ACUPUNCTURE LLC
Entity type:Organization
Organization Name:ENCHANTMENT ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF ORIENTAL MEDICINE
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTE
Authorized Official - Suffix:
Authorized Official - Credentials:MSOM, DOM
Authorized Official - Phone:505-401-7738
Mailing Address - Street 1:3 HOMESTEADS RD STE F
Mailing Address - Street 2:
Mailing Address - City:PLACITAS
Mailing Address - State:NM
Mailing Address - Zip Code:87043-9229
Mailing Address - Country:US
Mailing Address - Phone:505-401-7738
Mailing Address - Fax:
Practice Address - Street 1:3 HOMESTEADS RD STE F
Practice Address - Street 2:
Practice Address - City:PLACITAS
Practice Address - State:NM
Practice Address - Zip Code:87043-9229
Practice Address - Country:US
Practice Address - Phone:505-401-7738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty