Gerard Ceulemans
Individual provider Active NPI Acupuncturist · Boscobel, WI
NPI 1487063541 · NPPES record last updated Aug 3, 2014
Key facts
- NPI
- 1487063541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 658-55 (WI)
- Practice address
- 835 Wisconsin Ave
Boscobel, WI 53805-1375 - Phone
- (715) 969-9255
- NPI assigned
- Aug 3, 2014
- 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 |
|---|---|---|---|
| 658-55 | WI | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 658-55 | WI | Yes |
Addresses
Primary practice location
835 Wisconsin Ave
Boscobel, WI 53805-1375
Mailing address
835 Wisconsin Ave
Boscobel, WI 53805-1375
Phone (715) 969-9255
Other providers in Boscobel, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2014. 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.