Moses David Alvarez, DIPL. AC., LAC., RN

Individual provider Active NPI Acupuncturist · Muncy, PA

NPI 1508924648 · NPPES record last updated Nov 21, 2023

Key facts

NPI
1508924648
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AK000697 (PA)
Practice address
22 S Main St
Muncy, PA 17756-1307
Phone
(570) 244-4188
NPI assigned
Dec 4, 2006
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN659121PAMDRegistered Nurse
AK000697PAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AK000697 PA Yes
Registered Nurse 163W00000X RN659121 PA

Addresses

Primary practice location

22 S Main St
Muncy, PA 17756-1307

Mailing address

106 N Main St
Muncy, PA 17756-1006
Phone (551) 482-0345

Other practice location 1

457 Ridge St
Bloomsburg, PA 17815-3371
Phone (570) 244-4188

Other providers in Muncy, PA

All providers in Muncy, PA · Acupuncturist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.