ANTONIO PROVENCIO LAC NPI 1821598699

NPI Information

NPI: 1821598699
Provider Name: ANTONIO PROVENCIO, LAC
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
98-199 KAMEHAMEHA HWY STE F3
AIEA, HI
ZIP 96701
Phone: (808) 364-1555
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Antonio Provencio, LAC is an acupuncturist in Aiea, HI. 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. Antonio Provencio, LAC NPI is 1821598699. 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:

98-199 KAMEHAMEHA HWY STE F3
AIEA, HI
ZIP 96701
Phone: (808) 364-1555

The enumeration date for this NPI number is 2/17/2018 and was last updated on 7/29/2018.

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	License State	Primary
1	171100000X	Acupuncturist	CALIFORNIA	No
2	225700000X	Massage Therapist	CALIFORNIA	No
3	171100000X	Acupuncturist	HAWAII	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	Other Provider Identifier Issuer
1	1231	OTHER	HAWAII	ACUPUNCTURE STATE LICENSE
2	17178	OTHER	CALIFORNIA	ACUPUNCTURE STATE LICENSE
3	1740780949	OTHER		NPI FOR EAST 2 WEST INTEGRATIVE MEDICINE

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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