John E Churchill, LIC. AC.
Individual provider Active NPI Acupuncturist · Newton Centre, MA
NPI 1386776490 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386776490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 221046 (MA)
- Practice address
- 796 Beacon St
Samadhi
Newton Centre, MA 02459-1935 - Phone
- (617) 244-0469
- NPI assigned
- Mar 12, 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 |
|---|---|---|---|
| 221046 | MA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 221046 | MA | Yes |
Addresses
Primary practice location
796 Beacon St
Samadhi
Newton Centre, MA 02459-1935
Mailing address
71 Herrick Rd
Newton Centre, MA 02459-2217
Phone (617) 244-0469
Other providers in Newton Centre, MA
- Amy Cantor
- Alivia Grace Carlton
- Kathleen M Caruso
- Center for Advanced Dental Care
- Chatterboxes, LLC
- City of Newton
- Ann Marie Clifford
- David Cohen
- Debra T Cohen
- Harvey Joseph Cohen
All providers in Newton Centre, MA · Acupuncturist in Massachusetts
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.