Robert A Nicoll
Individual provider Active NPI Acupuncturist · Upton, MA
NPI 1689992604 · NPPES record last updated May 14, 2010
Key facts
- NPI
- 1689992604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 85 (MA)
- Practice address
- 1 Nelson St Unit B
Upton, MA 01568-1631 - Phone
- (508) 529-6081
- NPI assigned
- May 14, 2010
- 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 |
|---|---|---|---|
| 85 | MA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 85 | MA | Yes |
Addresses
Primary practice location
1 Nelson St Unit B
Upton, MA 01568-1631
Mailing address
1 Nelson St Unit B
Upton, MA 01568
Other providers in Upton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2010. 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.