=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154505014
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACUPUNCTURE AND HOLISTIC HEALTH ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/27/2007
-----------------------------------------------------
Last Update Date | 02/11/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 500 W SILVER SPRING DR STE K205
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53217-5057
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-332-8888
-----------------------------------------------------
Fax | 414-332-1888
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 500 W SILVER SPRING DR STE K205
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53217-5057
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-332-8888
-----------------------------------------------------
Fax | 414-332-1888
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PHILIP FREEMAN
-----------------------------------------------------
Credential | LAC
-----------------------------------------------------
Telephone | 414-332-8888
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 245-055
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------