Gretchen Alice Eigenbrod, LIC.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

216133 Issued in MA

Practice address

14 Old Hills LN
Greenlawn, NY 11740

Phone

(631) 261-9299

NPI assigned

Jul 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Gretchen Alice Eigenbrod Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1770895609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OLD HILLS LN",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401013",
            "telephone_number": "631-261-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 OLD HILLS LN",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "11740",
            "telephone_number": "631-261-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIGENBROD",
        "first_name": "GRETCHEN",
        "middle_name": "ALICE",
        "name_prefix": "Miss",
        "credential": "LIC.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "216133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "EIGENBROD",
            "middle_name": "ALICE",
            "prefix": "MISS",
            "credential": "LIC.AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in Greenlawn, NY
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.