MEDICARE: CHRISTINE MARIE KAISER 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	66.000024	OH

General Provider Information

NPI Number	:	1972674075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE MARIE KAISER L.AC.

Provider Business Mailing Address
First Line	:	25001 EMERY RD
Second Line	:	SUITE 100
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-5626
Country	:	US
Telephone Number	:	216-285-4070
Fax Number	:

Provider Business Practice Location Address
First Line	:	25001 EMERY RD
Second Line	:	SUITE 100
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-5626
Country	:	US
Telephone Number	:	216-285-4070
Fax Number	:

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

Provider Enumeration Date	:	11/11/2006
Last Update Date	:	12/01/2016

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