Jubal J Bewick Eamp, Msaom PLLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60511065 Issued in WA

Legal business name

JUBAL J BEWICK EAMP, MSAOM PLLC

Practice address

2200 Melrose St Ste 9
Walla Walla, WA 99362-1579

Phone

(509) 876-4597

Fax

(509) 876-4599

NPI assigned

Feb 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jubal Bewick, EAMP, MSAOMNPI 1013307024

Title

Owner

Phone

(509) 876-4597

Specialties & licenses 1

Addresses

Other names 1

• Blue Mountain Acupuncture Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jubal Bewick, DACM, L.AC

  • Acupuncturist
  • Framingham, MA
  • NPI 1013307024
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1013455617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MELROSE ST STE 9",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621579",
            "telephone_number": "509-876-4597",
            "fax_number": "509-876-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MELROSE ST STE 9",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993621579",
            "telephone_number": "509-876-4597",
            "fax_number": "509-876-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBAL J BEWICK EAMP, MSAOM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "BEWICK",
        "authorized_official_first_name": "JUBAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-876-4597",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EAMP, MSAOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60511065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Mountain Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron B Jones, MD
• Geoffrey Craig Jones, RPH
• Natasha Jones
• Ashia Jordana, LICSW
• Joseph Field
• Jill Juers, LICSW
• Julie B. Lester Licsw LLC
• Jessica Kagele
• Mary Puanani Kamai, NP
• Daniel F Kaminsky, M.D.

• Acupuncturist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.