Provider Demographics
NPI:1730595281
Name:ACUPUNCTURE AND WELLNESS OF OHIO
Entity type:Organization
Organization Name:ACUPUNCTURE AND WELLNESS OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:614-348-3127
Mailing Address - Street 1:8644 LITHOPOLIS RD
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:OH
Mailing Address - Zip Code:43112-9422
Mailing Address - Country:US
Mailing Address - Phone:614-348-3127
Mailing Address - Fax:
Practice Address - Street 1:8644 LITHOPOLIS RD
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:OH
Practice Address - Zip Code:43112-9422
Practice Address - Country:US
Practice Address - Phone:614-348-3127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-05
Last Update Date:2014-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.013167-S225700000X
OH65.000184171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty