Provider Demographics
NPI:1003431552
Name:ACUWELL ACUPUNCTURE
Entity Type:Organization
Organization Name:ACUWELL ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTOR/EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:DAFNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUFELT
Authorized Official - Suffix:
Authorized Official - Credentials:LICAC
Authorized Official - Phone:508-457-5855
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:
Mailing Address - City:CATAUMET
Mailing Address - State:MA
Mailing Address - Zip Code:02534-0667
Mailing Address - Country:US
Mailing Address - Phone:617-571-9577
Mailing Address - Fax:
Practice Address - Street 1:1379 RT 28A
Practice Address - Street 2:
Practice Address - City:CATAUMET
Practice Address - State:MA
Practice Address - Zip Code:02534-1079
Practice Address - Country:US
Practice Address - Phone:508-457-5855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty