Provider Demographics
NPI:1992422158
Name:INNER BALNCE ACUPUNCTURE & HERBS
Entity type:Organization
Organization Name:INNER BALNCE ACUPUNCTURE & HERBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST / HERBALIST
Authorized Official - Prefix:
Authorized Official - First Name:JUN HEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, OM
Authorized Official - Phone:201-894-5453
Mailing Address - Street 1:688 WESTWOOD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:RIVER VALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-6375
Mailing Address - Country:US
Mailing Address - Phone:551-206-9836
Mailing Address - Fax:551-310-8891
Practice Address - Street 1:688 WESTWOOD AVE STE 2
Practice Address - Street 2:
Practice Address - City:RIVER VALE
Practice Address - State:NJ
Practice Address - Zip Code:07675-6375
Practice Address - Country:US
Practice Address - Phone:551-206-9836
Practice Address - Fax:551-310-8891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-27
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty