Provider Demographics
NPI:1447404116
Name:ACUPUNCTURE & OMS LLC
Entity Type:Organization
Organization Name:ACUPUNCTURE & OMS LLC
Other - Org Name:ACUPUNCTURE & OREIENTAL MEDICINE SERVICES LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:ACUPUNCTURIST/HERBALIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JARET
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:SAHR
Authorized Official - Suffix:
Authorized Official - Credentials:MSOM, L AC
Authorized Official - Phone:414-431-1088
Mailing Address - Street 1:309 N WATER ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-5718
Mailing Address - Country:US
Mailing Address - Phone:414-431-1088
Mailing Address - Fax:
Practice Address - Street 1:309 N WATER ST
Practice Address - Street 2:SUITE 203
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-5718
Practice Address - Country:US
Practice Address - Phone:414-431-1088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2008-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI381055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty