Provider Demographics
NPI:1114783842
Name:THOMPSON, AMBER S (L AC)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:S
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ALCHEMY ACUPUNCTURE AND HERBAL WELLNESS
Mailing Address - Street 2:2624 N 96TH ST
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53226
Mailing Address - Country:US
Mailing Address - Phone:262-403-1170
Mailing Address - Fax:
Practice Address - Street 1:ALCHEMY ACUPUNCTURE AND HERBAL WELLNESS
Practice Address - Street 2:2624 N 96TH ST
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226
Practice Address - Country:US
Practice Address - Phone:262-403-1170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2045-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist