Chunchieh Bruce Sun, LAC, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

821-55 Issued in WI

Practice address

2762 Gateway Ave
Hartford, WI 53027-8310

Phone

(414) 312-1777

NPI assigned

Jan 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1174068753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2762 GATEWAY AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530278310",
            "telephone_number": "414-312-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2762 GATEWAY AVE",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530278310",
            "telephone_number": "414-312-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUN",
        "first_name": "CHUNCHIEH",
        "middle_name": "BRUCE",
        "credential": "LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "821-55",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001288",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "2308-146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Stephens
• Susan Aleen Sterman
• Peggy A Stickney, M.D.
• Monica A Stout, M.D.
• Laura Sullivan, PT
• Tcby,LLC
• Nathan Tebo, MD
• Janet L Temmer, PT
• The Hartford Dental Group, SC
• The Matthew Project, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.