MR. MITCHELL PAUL KERMAN ACUPUNCTURIST NPI 1104941160

NPI Information

NPI: 1104941160
Provider Name: MR. MITCHELL PAUL KERMAN, ACUPUNCTURIST
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
205 SOUTH ST
FORT BRAGG, CA
ZIP 95437
Phone: (707) 964-1251
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MR. Mitchell Paul Kerman, ACUPUNCTURIST is an acupuncturist in Fort Bragg, CA. The provider is an 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. MR. Mitchell Paul Kerman, ACUPUNCTURIST NPI is 1104941160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

205 SOUTH ST
FORT BRAGG, CA
ZIP 95437-540
Phone: (707) 964-1251
Fax: (707) 961-2722

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		AC3055	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	551813	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	G21155	MEDICARE UPIN	CALIFORNIA
3	FHC03967F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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