NPI Code Detail JSON Logo

1255880712 NPI number — IN BALANCE ACU CORP

NPI Number: 1255880712
Health Care Provider/Practitioner: IN BALANCE ACU CORP

Information about “1255880712” NPI (IN BALANCE ACU CORP) exists in 1255880712 in HTML format HTML  |  1255880712 in plain Text format TXT  |  1255880712 in PDF (Portable Document Format) PDF  |  1255880712 in an XML format XML  formats.

NPI Number : 1255880712 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1255880712",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "IN BALANCE ACU CORP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "48 JOHNSON AVE N",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KINGS PARK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11754-3519",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-559-5934",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "65 AIR PARK DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RONKONKOMA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11779-7374",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-559-5934",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/26/2016",
    "LastUpdateDate": "09/26/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HINKSON",
    "AuthorizedOfficialFirstName": "RALPH",
    "AuthorizedOfficialMiddleName": "EDWARD",
    "AuthorizedOfficialTitle": "ACUPUNCTURIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LAC",
    "AuthorizedOfficialTelephoneNumber": "631-559-5934",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "04778",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.