Blue Skies Holistic Care, INC.
Clinic/Center, Multi-Specialty in Milwaukee, WI. Organization (NPI-2).
NPI number1225709587
StatusActive
Last updated in NPPESJun 23, 2023
Details
- NPI
- 1225709587
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Skies Holistic Care, INC.
- Organization subpart
- No
- Enumeration date
- Sep 25, 2021
- Certification date
- Jun 23, 2023
- Last updated
- Jun 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
Other names
- Pinnacle Xl, INC. (Former Legal Business Name)
- Kelemarie Lyons Acupuncture & Herbal Medicine (Doing Business As)
Practice location
9205 W Center St Ste 209Milwaukee, WI 53222-4548
Phone 414-737-6000 · Fax 414-677-6979
Mailing address
20515 Milton CtBrookfield, WI 53045-4050
Phone 414-737-6000
Authorized official
Kelemarie R Lyons
President
4147376000
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