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Contact Information

VITALITY ACUPUNCTURE LLC
1500 W BARRETT DR
MERIDIAN, ID83642-3728
 Phone: 208-629-4920
 Fax: 888-361-5391
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for VITALITY ACUPUNCTURE LLC

NPI Number 1205337656
LBN Legal business name VITALITY ACUPUNCTURE LLC
Authorized official HEATHER BERGSTROM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2018
Last updated 02/21/2018 - About 8 years ago
Identifiers
License # ACU279
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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