Susannah L Pisano, L.AC
Individual provider Active NPI Acupuncturist · Kula, HI
NPI 1285760744 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285760744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 796 (HI)
- Practice address
- 11 Alae Rd
Kula, HI 96790-8973 - Phone
- (808) 283-7721
- NPI assigned
- Feb 26, 2007
- 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 |
|---|---|---|---|
| 796 | HI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 796 | HI | Yes |
Addresses
Primary practice location
11 Alae Rd
Kula, HI 96790-8973
Mailing address
11 Alae Rd
Kula, HI 96790-8973
Phone (808) 283-7721
Other providers in Kula, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.