Basic Information
| Provider Information | |||||||||
| NPI: | 1700336989 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | APEX ACUPUNCTURE AND WELLNESS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8080 PARK MEADOWS DR | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | LONE TREE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801242557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033468828 | ||||||||
| FaxNumber: | 3033460407 | ||||||||
| Practice Location | |||||||||
| Address1: | 8080 PARK MEADOWS DR | ||||||||
| Address2: | SUITE 150 | ||||||||
| City: | LONE TREE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801242557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033468828 | ||||||||
| FaxNumber: | 3033460407 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2016 | ||||||||
| LastUpdateDate: | 10/11/2016 | ||||||||
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| AuthorizedOfficialLastName: | JOHNSTON | ||||||||
| AuthorizedOfficialFirstName: | SARA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3038592173 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | L.AC. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | 1061 | CO | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Acupuncturist |
No ID Information.