NPIMap

Organization Active NPI

Midwest Alternative Medicine Clinic, LLC

  • Acupuncturist
  • Greenfield, WI
National Provider Identifier
1780085589
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
251-55 Issued in WI
Legal business name
MIDWEST ALTERNATIVE MEDICINE CLINIC, LLC
Practice address
4275 S 108TH St
Greenfield, WI 53228-1907
Phone
(414) 727-4640
NPI assigned
Sep 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Chuan Liu, L.AC., PH.D.NPI 1063430601
Title
Owner/ Practitioner
Phone
(414) 727-4640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 251-55 WI Primary

Addresses

Primary practice location

4275 S 108TH St
Greenfield, WI 53228-1907

Mailing address

4275 S 108TH St
Greenfield, WI 53228-1907
Phone (414) 727-4640

Other names 1

  • Milwaukee Acupuncture and Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

4275 S 108th St
Greenfield, WI 53228
Phone (414) 727-4640

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1780085589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 S 108TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281907",
            "telephone_number": "414-727-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 S 108TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281907",
            "telephone_number": "414-727-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ALTERNATIVE MEDICINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "CHUAN",
        "authorized_official_title_or_position": "OWNER/ PRACTITIONER",
        "authorized_official_telephone_number": "414-727-4640",
        "authorized_official_credential": "L.AC., PH.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "251-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milwaukee Acupuncture and Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.