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Contact Information

MOON TIDES ACUPUNCTURE, INC.
516 PRINCESS ST
WILMINGTON, NC28401-4131
 Phone: 910-367-5747
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for MOON TIDES ACUPUNCTURE, INC.

NPI # 1841996436
LBN Legal business name MOON TIDES ACUPUNCTURE, INC.
Authorized official KYLER YORK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/06/2023
Last updated 02/06/2023 - About 3 years ago
Identifiers
Other 1629527874 INDIVIDUAL NPI
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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