1447491444 NPI number — SEVEN DRAGONS HOLISTIC HEALTH CARE

Table of content: (NPI 1447491444)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447491444 NPI number — SEVEN DRAGONS HOLISTIC HEALTH CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SEVEN DRAGONS HOLISTIC HEALTH CARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PRECISIONS INNOVATIVE WELLNESS CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447491444
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
85 SE 6TH AVE STE B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DELRAY BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33483-5336
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-276-2345
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
85 SE 6TH AVE STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DELRAY BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33483-5336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-276-2345
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LYONS
Authorized Official First Name:
RANDAL
Authorized Official Middle Name:
Authorized Official Title or Position:
ACUPUNCTURE PHYSICIAN/OWNER
Authorized Official Telephone Number:
561-276-2345

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171100000X , with the licence number: AP 1753 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)