Organization · NPI-2

Acupuncture And Wellness Center, LLC

Clinic/Center · Fort Wayne, IN

NPI number1316453160
StatusActive
Last updated in NPPESDec 15, 2017

Details

NPI
1316453160
Entity type
Organization (NPI-2)
Legal business name
Acupuncture And Wellness Center, LLC
Organization subpart
No
Enumeration date
Dec 15, 2017
Last updated
Dec 15, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center84000093AINYes

Practice location

6049 E State Blvd
Fort Wayne, IN 46815-7620

Phone 260-418-4126 · Fax 260-492-8835

Mailing address

7315 Abington Dr
Fort Wayne, IN 46835-2759

Phone 260-418-4126 · Fax 260-492-8835

Authorized official

Kathren Ann Bunt
President
2604184126

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