Eric Eugene Vandenhouten, PH.D., D.O.M., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

908-55 Issued in WI

Practice address

521 S Military Ave Ste a
Green Bay, WI 54303-2209

Phone

(920) 785-0398

NPI assigned

Mar 11, 2022

Last updated

Mar 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waomirc Group LTD

  • Acupuncturist
  • Green Bay, WI
  • NPI 1316673189
  NPD Authorized official

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1609524354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 RIVERVIEW DR APT 4",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543036514",
            "telephone_number": "920-785-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S MILITARY AVE STE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032209",
            "telephone_number": "920-785-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENHOUTEN",
        "first_name": "ERIC",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "PH.D., D.O.M., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "908-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jo Vanden Wymelenberg, LCSW,CSAC
• Karmin R Vandenbush, RN
• Abby Vandenelzen
• Amy Vandenheuvel
• Heather A Vandenheuvel, LPC
• Jamie Vandenhouten, PTA
• Karen Vandenhouten
• Stacy L Vandenput, CPM LICENSED MIDWIFE
• Mackenzie Rose Vander Bloomen, MSN, FNP-C
• Yvonne Vander Heiden, COTA

• Acupuncturist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.