Provider Demographics
NPI:1760761183
Name:DAY & DAY CLINIC OF ACUPUNCTURE
Entity Type:Organization
Organization Name:DAY & DAY CLINIC OF ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:DAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-476-8388
Mailing Address - Street 1:7020 W NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-1943
Mailing Address - Country:US
Mailing Address - Phone:414-476-8388
Mailing Address - Fax:
Practice Address - Street 1:7020 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53213-1943
Practice Address - Country:US
Practice Address - Phone:414-476-8388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI132-055302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
963OtherNCCAOM