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MEDICAL ACUPUNCTURE & PAIN CLINIC SC NPI 1033130927


NPI Information

NPI: 1033130927
Provider Name: MEDICAL ACUPUNCTURE & PAIN CLINIC SC
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
422 MEADOWBROOK DR
WEST BEND, WI
ZIP 53090
Phone: (262) 335-8025
Get Directions

MEDICAL ACUPUNCTURE & PAIN CLINIC SC is an acupuncturist in West Bend, WI. 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. MEDICAL ACUPUNCTURE & PAIN CLINIC SC NPI is 1033130927. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

422 MEADOWBROOK DR
WEST BEND, WI
ZIP 53090-416
Phone: (262) 335-8025

The provider's authorized official is Jesse Vegafria .
The authorized official title is Owner/president and has the following contact phone number (262) 335-8025.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 10/6/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
131208800MEDICAIDWISCONSIN
2000067021MEDICARE PINWISCONSIN
3000001577MEDICARE PINWISCONSIN

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: 4/28/2024

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