Carol Ohsiek, LAC

Individual provider Active NPI Acupuncturist · Mendocino, CA

NPI 1104377548 · NPPES record last updated Oct 20, 2016

Key facts

NPI
1104377548
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AC 14169 (CA)
Practice address
44700 Jackson St.
Mendocino, CA 95460
Phone
(707) 295-6096
NPI assigned
Oct 20, 2016
Sex
Female
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
AC 14169CAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 14169 CA Yes

Addresses

Primary practice location

44700 Jackson St.
Mendocino, CA 95460

Mailing address

PO Box 243
Mendocino, CA 95460-0243
Phone (707) 295-6096

Other providers in Mendocino, CA

All providers in Mendocino, CA · Acupuncturist in California

Sources for this page

Verify at the official NPI Registry.