Provider Demographics
NPI:1033742382
Name:NORTH SHORE ACUPUNCTURE AND NATURAL MEDICINE
Entity Type:Organization
Organization Name:NORTH SHORE ACUPUNCTURE AND NATURAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ACUPUNCTURIST & HERBALIST
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MAOM LAC DIPL
Authorized Official - Phone:978-325-2780
Mailing Address - Street 1:83 CABOT ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4949
Mailing Address - Country:US
Mailing Address - Phone:978-325-2780
Mailing Address - Fax:
Practice Address - Street 1:83 CABOT ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-4949
Practice Address - Country:US
Practice Address - Phone:978-325-2780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty