Healthcare Provider Details

I. General information

NPI: 1740369370
Provider Name (Legal Business Name): QI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

539 HARKLE RD STE A
SANTA FE NM
87505
US

IV. Provider business mailing address

551 W CORDOVA RD #817
SANTA FE NM
87505
US

V. Phone/Fax

Practice location:
  • Phone: 505-982-5156
  • Fax: 505-982-2344
Mailing address:
  • Phone: 505-982-5156
  • Fax: 505-982-2344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number316
License Number StateNM

VIII. Authorized Official

Name: MS. ALIX P BJORKLUND
Title or Position: PRESIDENT OWNER
Credential: DOM
Phone: 505-982-5156