=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902024284
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACUPUNCTURE ENERGETICS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2007
-----------------------------------------------------
Last Update Date | 08/05/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 155 LAFAYETTE RD BOX 11
-----------------------------------------------------
City | NORTH HAMPTON
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03862-2464
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-964-9550
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 155 LAFAYETTE RD BOX 11
-----------------------------------------------------
City | NORTH HAMPTON
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03862-2464
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-964-9550
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | MS. SHERYL L WOOKEY
-----------------------------------------------------
Credential | LIC AC
-----------------------------------------------------
Telephone | 603-964-9550
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 076
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------