Healthcare Provider Details

I. General information

NPI: 1467800011
Provider Name (Legal Business Name): ACUPUNCTURE & BEYOND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2016
Last Update Date: 05/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1472 1/2 S SAINT FRANCIS DR
SANTA FE NM
87505-4038
US

IV. Provider business mailing address

961 CAMINO DE CHELLY
SANTA FE NM
87505-6261
US

V. Phone/Fax

Practice location:
  • Phone: 505-473-4233
  • Fax: 505-474-4472
Mailing address:
  • Phone: 505-473-4233
  • Fax: 505-474-4472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number134
License Number StateNM

VIII. Authorized Official

Name: DR. SHARON ORBACH
Title or Position: DOCTOR
Credential: DOM
Phone: 505-473-4233