Ancient Healing Acupuncture and Herbs LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

569-055 Issued in WI

Legal business name

ANCIENT HEALING ACUPUNCTURE AND HERBS LLC

Practice address

1744 22ND Ave
Kenosha, WI 53140-1413

Phone

(262) 551-9667

NPI assigned

Jun 4, 2008

Last updated

Jun 4, 2008By 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

Juanita R. Richter, LAC

Title

Acupuncturist

Phone

(262) 880-1442

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1184883175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5748 CAMBRIDGE LN",
            "address_2": "#8",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534062839",
            "telephone_number": "262-886-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 22ND AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531401413",
            "telephone_number": "262-551-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCIENT HEALING ACUPUNCTURE AND HERBS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "262-880-1442",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "569-055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.