SUSTAINING LIFE WELLNESS CENTER (SYMPTOMETRY OF NORTH CAROLINA) NPI 1225565484

Acupuncturist in Winston Salem, NC

Organization Acupuncturist

About SUSTAINING LIFE WELLNESS CENTER (SYMPTOMETRY OF NORTH CAROLINA)

Sustaining Life Wellness Center (symptometry Of North Carolina) is a provider established in Winston Salem, North Carolina specializing in acupuncturist. The NPI number of Sustaining Life Wellness Center (symptometry Of North Carolina) is 1225565484 and was assigned on May 2017. The practitioner's primary taxonomy code is 171100000X with license number 124 (NC). The provider is registered as an organization and their NPI record was last updated 3 years ago. Sustaining Life Wellness Center (symptometry Of North Carolina) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Sustaining Life Wellness Center. The authorized official of this NPI record is Amsu Batin Bey El (Licensed Acupuncturist/ President)

NPI

1225565484

Provider NameSUSTAINING LIFE WELLNESS CENTER (SYMPTOMETRY OF NORTH CAROLINA)
Provider Location Address3410 HEALY DR STE 104 WINSTON SALEM, NC 27103
Provider Mailing Address3410 HEALY DR STE 104 WINSTON SALEM, NC 27103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSUSTAINING LIFE WELLNESS CENTER
Other Name TypeOther Name (5)
Enumeration Date05-18-2017
Last Update Date05-18-2017

Primary Taxonomy

Taxonomy Code171100000X
ClassificationAcupuncturist
TypeOther Service Providers
License No.124
License StateNC
Taxonomy DescriptionAn acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Business Address

SUSTAINING LIFE WELLNESS CENTER
3410 HEALY DR STE 104
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 456-9183

Get Directions

Mailing Address

SUSTAINING LIFE WELLNESS CENTER
3410 HEALY DR STE 104
WINSTON SALEM, NC
ZIP 27103
Phone:

Authorized Official

Authorized Official Name AMSU BATIN BEY EL
Authorized Official TitleLICENSED ACUPUNCTURIST/ PRESIDENT
Authorized Official Phone(336) 456-9183

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1386178168OTHER (01)NC

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386178168 AMSU BATIN BEY EL
Individual
Acupuncturist3410 HEALY DR STE 104
WINSTON SALEM, NC 27103
(336) 456-9183

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.