Ace Acupuncture Clinic of Milwaukee, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

549-04 Issued in WI

Legal business name

ACE ACUPUNCTURE CLINIC OF MILWAUKEE, LLC

Practice address

8412 W Capitol Dr
Milwaukee, WI 53222-1825

Phone

(414) 438-9488

Fax

(262) 821-1082

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Guan-Yuan Jin, MD, L.ACNPI 1063927226

Title

Chief Acupuncturist/Director of Car

Phone

(414) 438-9488

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Guan-Yuan Jin, LAC

  • Acupuncturist
  • Milwaukee, WI
  • NPI 1063927226
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1497907570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8412 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221825",
            "telephone_number": "414-438-9488",
            "fax_number": "262-821-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221825",
            "telephone_number": "414-438-9488",
            "fax_number": "262-821-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE ACUPUNCTURE CLINIC OF MILWAUKEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "JIN",
        "authorized_official_first_name": "GUAN-YUAN",
        "authorized_official_title_or_position": "CHIEF ACUPUNCTURIST/DIRECTOR OF CAR",
        "authorized_official_telephone_number": "414-438-9488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, L.AC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "549-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.