MEDICARE: MR. KARL R BOWER L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	004510	NY
2	171100000X	Acupuncturist	254238	MA

General Provider Information

NPI Number	:	1073800306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KARL R BOWER L.AC.

Provider Business Mailing Address
First Line	:	316 WASHINGTON ST
Second Line	:	SUITE 1
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-4955
Country	:	US
Telephone Number	:	781-898-4083
Fax Number	:	781-489-3423

Provider Business Practice Location Address
First Line	:	316 WASHINGTON ST
Second Line	:	SUITE 1
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-4955
Country	:	US
Telephone Number	:	781-898-4083
Fax Number	:	781-489-3423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2011
Last Update Date	:	02/24/2015

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