Healthcare Provider Details

I. General information

NPI: 1023684768
Provider Name (Legal Business Name): SUNNYLAND ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 FRASER ST STE F101
BELLINGHAM WA
98229-5886
US

IV. Provider business mailing address

PO BOX 674
BELLINGHAM WA
98227-0674
US

V. Phone/Fax

Practice location:
  • Phone: 360-592-7525
  • Fax: 844-833-4903
Mailing address:
  • Phone: 360-592-7525
  • Fax: 844-833-4903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EMMA CLARE LYNAM
Title or Position: OWNER/WORKER
Credential: LAC
Phone: 360-592-7525