Peter Hennig, L.AC.
Individual provider Active NPI Acupuncturist · Church Hill, MD
NPI 1336288653 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336288653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- U-01161 (MD)
- Practice address
- 202 Walnut St
Church Hill, MD 21623-1408 - Phone
- (410) 703-4431
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| U-01161 | MD | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U-01161 | MD | Yes |
Addresses
Primary practice location
202 Walnut St
Church Hill, MD 21623-1408
Mailing address
202 Walnut St
Church Hill, MD 21623-1408
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All providers in Church Hill, MD · Acupuncturist in Maryland
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.