Provider Demographics
NPI:1245065630
Name:JOSHUA HERR LAC LLC
Entity type:Organization
Organization Name:JOSHUA HERR LAC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:HERR
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:828-505-1189
Mailing Address - Street 1:4 DOCTORS PARK STE 4-D
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4533
Mailing Address - Country:US
Mailing Address - Phone:828-505-1189
Mailing Address - Fax:828-505-1179
Practice Address - Street 1:4 DOCTORS PARK STE 4-D
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4533
Practice Address - Country:US
Practice Address - Phone:828-505-1189
Practice Address - Fax:828-505-1179
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSHUA HERR LAC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty