Provider Demographics
NPI:1023237153
Name:ARSENAULT, MICHAEL P (LIC AC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:P
Last Name:ARSENAULT
Suffix:
Gender:M
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 1:55 HARRISON ST
Mailing Address - Street 2:#1
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6951
Mailing Address - Country:US
Mailing Address - Phone:978-412-8272
Mailing Address - Fax:
Practice Address - Street 1:INTERNAL ARTS ACUPUNCTURE
Practice Address - Street 2:77 TURNPIKE ROAD - RT. #1
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938
Practice Address - Country:US
Practice Address - Phone:978-412-8272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA202812171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist