Timothy Scott Bernhard, LAC

Individual provider Active NPI Acupuncturist · Stevens Point, WI

NPI 1083875413 · NPPES record last updated Jun 18, 2008

Key facts

NPI
1083875413
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
109055 (WI)
Practice address
1100 Northpoint Dr
Apt #A3
Stevens Point, WI 54481-1192
Phone
(715) 342-4223
NPI assigned
Jun 18, 2008
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
109055WIMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 109055 WI Yes

Addresses

Primary practice location

1100 Northpoint Dr
Apt #A3
Stevens Point, WI 54481-1192

Mailing address

1100 Northpoint Drive
Apt #A3
Stevens Point, WI 54481-1192
Phone (715) 342-4223

Other providers in Stevens Point, WI

All providers in Stevens Point, WI · Acupuncturist in Wisconsin

Sources for this page

Verify at the official NPI Registry.