Healthcare Provider Details

I. General information

NPI: 1922317866
Provider Name (Legal Business Name): JOSEPH BONACCI M.S., L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 NORTH LAFAYETTE STREET SUITE 24
SHELBY NC
28150
US

IV. Provider business mailing address

222 NORTH LAFAYETTE STREET SUITE 24
SHELBY NC
28150
US

V. Phone/Fax

Practice location:
  • Phone: 980-404-9477
  • Fax:
Mailing address:
  • Phone: 980-404-9477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00077500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number2177
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: