John M Alsobrooks, MB, LAC

Individual provider Active NPI Acupuncturist · Lewiston, ME

NPI 1003584863 · NPPES record last updated Feb 19, 2024

Key facts

NPI
1003584863
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AC693 (ME)
Practice address
369 Main St Ste 1
Lewiston, ME 04240-7030
Phone
(207) 531-5346
Fax
(207) 241-7600
NPI assigned
Sep 5, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AC693MEMDAcupuncturist
AC02076TXMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC02076 TX
Acupuncturist
Group: 193400000X SINGLE SPECIALTY GROUP
171100000X AC693 ME Yes

Addresses

Primary practice location

369 Main St Ste 1
Lewiston, ME 04240-7030

Mailing address

369 Main St Ste 1
Lewiston, ME 04240-7030
Phone (207) 531-5346

Other providers in Lewiston, ME

All providers in Lewiston, ME · Acupuncturist in Maine

Sources for this page

Verify at the official NPI Registry.