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VITAL BALANCE ACUPUNCTURE AND HERBAL MEDICINE LLC NPI 1871832782


NPI Information

NPI: 1871832782
Provider Name: VITAL BALANCE ACUPUNCTURE AND HERBAL MEDICINE LLC

Doing Business As: DR. MARK VANOTTERLOO DAOM

Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
4288 YOUNGFIELD ST
WHEAT RIDGE, CO
ZIP 80033
Phone: (720) 295-9323
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VITAL BALANCE ACUPUNCTURE AND HERBAL MEDICINE LLC is an acupuncturist in Wheat Ridge, 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. VITAL BALANCE ACUPUNCTURE AND HERBAL MEDICINE LLC NPI is 1871832782. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Mark Vanotterloo Daom.

The provider's business location address is:

4288 YOUNGFIELD ST
WHEAT RIDGE, CO
ZIP 80033-436
Phone: (720) 295-9323
Fax: (720) 295-9323

The provider's authorized official is Mark Ian Vanotterloo .
The authorized official title is Owner and has the following contact phone number (720) 295-9323.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 10/25/2023.


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
1171100000XAcupuncturist1763COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11588937759OTHERCOLORADONPPES

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: 4/28/2024

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