Provider Demographics
NPI:1326116153
Name:MCGETTIGAN, LINDA J (LIC AC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:MCGETTIGAN
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 PARK ST
Mailing Address - Street 2:
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1834
Mailing Address - Country:US
Mailing Address - Phone:508-472-6426
Mailing Address - Fax:
Practice Address - Street 1:THE VILLAGE ACUPUNCTURIST
Practice Address - Street 2:115 MAIN ST. SUITE 2C
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356
Practice Address - Country:US
Practice Address - Phone:508-472-6426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA230148171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist