Hanni Heller-Ram, L.AC

Individual provider Active NPI Acupuncturist · Fairfield, CT

NPI 1871879320 · NPPES record last updated Oct 28, 2011

Key facts

NPI
1871879320
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
000548 (CT)
Practice address
509 Shrub Oak LN
Fairfield, CT 06824-1872
Phone
(203) 255-4739
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000548CTMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Acu Poise Acupuncturist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000548 CT Yes

Addresses

Primary practice location

509 Shrub Oak LN
Fairfield, CT 06824-1872

Mailing address

509 Shrub Oak LN
Fairfield, CT 06824-1872
Phone (203) 255-4739

Other providers in Fairfield, CT

All providers in Fairfield, CT · Acupuncturist in Connecticut

Sources for this page

Verify at the official NPI Registry.