Organization
INTER-HEALTH ACUPUNCTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ANTONIO BRENNER L.AC., L.C.S.W. (OWNER/MEMBER)
(317) 888-2062
Entity
Organization
Contact information
Practice address
360 S MADISON AVE STE 108, GREENWOOD, IN 46142-3117
(317) 885-1800
Mailing address
PO BOX 7051, GREENWOOD, IN 46142-6421
(317) 885-1800
(317) 885-1801
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
84000078A
IN
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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