Jennifer Benner, L.AC., DIPL. AC.
Individual provider Active NPI Acupuncturist · Holualoa, HI
NPI 1356515191 · NPPES record last updated Apr 14, 2008
Key facts
- NPI
- 1356515191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC 770 (HI)
- Practice address
- 76-5914 Mamalahoa Hwy
Holualoa, HI 96725 - Phone
- (808) 345-2599
- NPI assigned
- Apr 14, 2008
- 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 |
|---|---|---|---|
| AC 770 | HI | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 770 | HI | Yes |
Addresses
Primary practice location
76-5914 Mamalahoa Hwy
Holualoa, HI 96725
Mailing address
PO Box 859
Holualoa, HI 96725-0859
Other names
- Jennifer Wade
Other providers in Holualoa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2008. 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.