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Contact Information

EMBODIED VIRTUE
307 CHURCH ST
SANDPOINT, ID83864-1344
 Phone: 208-254-1188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for EMBODIED VIRTUE

NPI # 1700434842
LBN Legal business name EMBODIED VIRTUE
Authorized official JESSICA YOUNGS - (MEMBER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/02/2019
Last updated 09/02/2019 - About 7 years ago
Identifiers
ID Other ACU-370 ACUPUNCTURE LICENSE
ID Other ACU-371 ACUPUNCTURE LICENSE
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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