Courtney Dusschee, LAC.
Individual provider Active NPI Acupuncturist · Pahoa, HI
NPI 1265032742 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1265032742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 1224 (HI)
- Practice address
- 12-7236 Mauka Nui St
Pahoa, HI 96778-8008 - Phone
- (503) 989-8829
- NPI assigned
- Oct 26, 2020
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1224 | HI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1224 | HI | Yes |
Addresses
Primary practice location
12-7236 Mauka Nui St
Pahoa, HI 96778-8008
Mailing address
12-7236 Mauka Nui St
Pahoa, HI 96778-8008
Phone (503) 989-8829
Other providers in Pahoa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.