Healthcare Provider Details

I. General information

NPI: 1063332518
Provider Name (Legal Business Name): H&W MEDICAL ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 MACKLIND AVE STE 171
SAINT LOUIS MO
63110-1432
US

IV. Provider business mailing address

1218 STONEWOLF TRL
FAIRVIEW HEIGHTS IL
62208-4508
US

V. Phone/Fax

Practice location:
  • Phone: 314-806-3589
  • Fax:
Mailing address:
  • Phone: 314-806-3589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: JAMES PAUL WHALEN
Title or Position: ACUPUNCTURIST
Credential: L.AC
Phone: 314-806-3589