Provider Demographics
NPI:1518213875
Name:EARTH AND AIR WELLNESS ACUPUNCTURE & ALTERNATIVE MEDICINE INC
Entity type:Organization
Organization Name:EARTH AND AIR WELLNESS ACUPUNCTURE & ALTERNATIVE MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRAIOLO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:925-280-6026
Mailing Address - Street 1:140 GREGORY LN
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-3399
Mailing Address - Country:US
Mailing Address - Phone:925-280-6026
Mailing Address - Fax:925-280-6026
Practice Address - Street 1:140 GREGORY LN
Practice Address - Street 2:SUITE 210
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3399
Practice Address - Country:US
Practice Address - Phone:925-280-6026
Practice Address - Fax:925-280-6026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty