Alice Gansecki Meattey, LIC AC LICENSED ACUP
Individual provider Active NPI Acupuncturist · Kittery, ME
NPI 1497968358 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497968358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC120 (ME)
- Practice address
- 74 State Road
Suite Number 201
Kittery, ME 03904 - Phone
- (207) 439-5809
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| AC120 | ME | MD | Acupuncturist |
| ACP001 | NH | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC120 | ME | Yes |
| Acupuncturist | 171100000X | ACP001 | NH |
Addresses
Primary practice location
74 State Road
Suite Number 201
Kittery, ME 03904
Mailing address
109 Spur Road
Dover, NH 03820-9110
Phone (603) 742-3940
Other names
- Alice C Gansecki
Other providers in Kittery, ME
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.