Egan Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

349-055 Issued in WI

Legal business name

EGAN ACUPUNCTURE, LLC

Practice address

818 S 8TH St
Manitowoc, WI 54220-4503

Phone

(920) 242-9947

NPI assigned

Aug 8, 2008

Organization subpart

No

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

Authorized official

Name

Janis M Egan, LAC,MT(ASCP),DIPAC

Title

Acupuncturist

Phone

(920) 242-9947

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1104072289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 S 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204503",
            "telephone_number": "920-242-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 S 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204503",
            "telephone_number": "920-242-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGAN ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "920-242-9947",
        "authorized_official_credential": "LAC,MT(ASCP),DIPAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "349-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstin Duprey, QTT
• Christopher L Dykstra, PHARM.D.
• Ronald Eberhardt
• Ellen Luciel Eddleman, APNP
• Jeanne Edwards
• Ronald Egan, DDS
• Eggert & Eggert LLC
• Eggert & Eggert LLC
• Caroline Enderby
• Alicia Endries

• Acupuncturist in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.