Provider Demographics
NPI:1609349653
Name:STEFFI KOERNER ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:STEFFI KOERNER ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEFFI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOERNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LIC AC, MAOM
Authorized Official - Phone:339-545-1263
Mailing Address - Street 1:231 ARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-3544
Mailing Address - Country:US
Mailing Address - Phone:339-545-1263
Mailing Address - Fax:844-501-0926
Practice Address - Street 1:278 ELM ST STE 227
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2919
Practice Address - Country:US
Practice Address - Phone:339-545-1263
Practice Address - Fax:844-501-0926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty