Acupuncture Queen, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1716 Issued in MN

Legal business name

ACUPUNCTURE QUEEN, LLC

Practice address

2150 3Rd St
Suite #9
White Bear Lake, MN 55110-3271

Phone

(612) 385-5503

NPI assigned

Jan 8, 2015

Last updated

Jun 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leah Eichmiller, L.AC.NPI 1821496969

Title

Owner

Phone

(612) 385-5503

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leah Eichmiller, L.AC.

  • Acupuncturist
  • White Bear Lake, MN
  • NPI 1821496969
  NPD (past) Authorized official

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1134517410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 3RD ST",
            "address_2": "SUITE #9",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103271",
            "telephone_number": "612-385-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 3RD ST",
            "address_2": "SUITE #9",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103271",
            "telephone_number": "612-385-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE QUEEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "EICHMILLER",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-385-5503",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Acupuncturist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.