Healthcare Provider Details

I. General information

NPI: 1407718992
Provider Name (Legal Business Name): YIN & YANG ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 S 17TH ST STE 3G
LINCOLN NE
68502-2641
US

IV. Provider business mailing address

1701 S 17TH ST STE 3G
LINCOLN NE
68502-2641
US

V. Phone/Fax

Practice location:
  • Phone: 402-480-1014
  • Fax:
Mailing address:
  • Phone: 402-480-1014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RONALD LEE BADDORF
Title or Position: PRESIDENT
Credential: D.AC.
Phone: 402-480-1014