Jeremy Edward Linquist, L.AC.
Individual provider Active NPI Acupuncturist · Carolina Beach, NC
NPI 1578713616 · NPPES record last updated Apr 13, 2011
Key facts
- NPI
- 1578713616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 566 (NC)
- Practice address
- 1140 N Lake Park Blvd
Suite I
Carolina Beach, NC 28428-4100 - Phone
- (910) 202-4718
- Fax
- (910) 202-4718
- NPI assigned
- Sep 25, 2008
- 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 |
|---|---|---|---|
| AC 12576 | CA | MD | Acupuncturist |
| 566 | NC | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 12576 | CA | |
| Acupuncturist | 171100000X | 566 | NC | Yes |
Addresses
Primary practice location
1140 N Lake Park Blvd
Suite I
Carolina Beach, NC 28428-4100
Mailing address
1140 N Lake Park Blvd
Suite I
Carolina Beach, NC 28428-4100
Phone (910) 202-4718
Other providers in Carolina Beach, NC
- Hope Services, LLC
- Samantha Huebner
- Island Cardiology, PLLC
- Kelly Medical, Inc.
- Brian E. Libonati
- Lundy Healthcare PLLC
- Kaitlin Sledge Maertz
- Jessica Hadley Manning
- Jeanne L McEvoy
- Vicky Lynne McInnis
All providers in Carolina Beach, NC · Acupuncturist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2011. 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.