Provider Demographics
NPI:1407301807
Name:ACUPUNCTURE, HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:ACUPUNCTURE, HEALTH AND WELLNESS
Other - Org Name:RONALD WILLIAMS. LIC. AC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LIC AC MAC
Authorized Official - Phone:978-397-6505
Mailing Address - Street 1:11 PARADISE RD
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-1221
Mailing Address - Country:US
Mailing Address - Phone:978-397-6505
Mailing Address - Fax:
Practice Address - Street 1:121 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3309
Practice Address - Country:US
Practice Address - Phone:978-397-6505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219529171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty