Provider Demographics
NPI:1871801654
Name:INNER LIGHT WELLNESS, INC.
Entity type:Organization
Organization Name:INNER LIGHT WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:CELLI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:610-357-4376
Mailing Address - Street 1:1 BLACK HAWK CIR
Mailing Address - Street 2:APT. M-2
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2772
Mailing Address - Country:US
Mailing Address - Phone:610-357-4376
Mailing Address - Fax:
Practice Address - Street 1:797 E LANCASTER AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3315
Practice Address - Country:US
Practice Address - Phone:610-357-4376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAKO000525171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty