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BLACKHAWK ACUPUNCTURE AND HERBAL HEALING CENTER LLC NPI 1417489519


NPI Information

NPI: 1417489519
Provider Name: BLACKHAWK ACUPUNCTURE AND HERBAL HEALING CENTER LLC

Doing Business As: PUEBLO HOLISTIC WELLNESS CENTER

Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
1307 FORTINO BLVD STE C
PUEBLO, CO
ZIP 81008
Phone: (719) 582-1010
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BLACKHAWK ACUPUNCTURE AND HERBAL HEALING CENTER LLC is an acupuncturist in Pueblo, CO. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. BLACKHAWK ACUPUNCTURE AND HERBAL HEALING CENTER LLC NPI is 1417489519. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pueblo Holistic Wellness Center.

The provider's business location address is:

1307 FORTINO BLVD STE C
PUEBLO, CO
ZIP 81008-032
Phone: (719) 582-1010
Fax: (719) 631-7012

The provider's authorized official is Tracey Renee Walker .
The authorized official title is Managing Member and has the following contact phone number (719) 396-5375.

The enumeration date for this NPI number is 3/29/2017 and was last updated on 8/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturistACU.0001916COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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