Healthcare Provider Details
I. General information
NPI: 1457238040
Provider Name (Legal Business Name): BIOCHANNELS ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6215 EMERALD PKWY STE 2
DUBLIN OH
43016-3315
US
IV. Provider business mailing address
6215 EMERALD PKWY STE 2
DUBLIN OH
43016-3315
US
V. Phone/Fax
- Phone: 614-659-7777
- Fax:
- Phone: 614-659-7777
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KYLE
PETERSON
Title or Position: OWNER
Credential: L.AC
Phone: 740-361-3727