Provider Demographics
NPI:1457541542
Name:LEARNER, BETSY C (LIC AC)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:C
Last Name:LEARNER
Suffix:
Gender:F
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:FAMILY ACUPUNCTURE & HERRBS
Mailing Address - Street 2:875 GREENLAND RD., STE B6
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:781-944-5443
Mailing Address - Fax:
Practice Address - Street 1:FAMILY ACUPUNTURE AND HERBS
Practice Address - Street 2:20 POND MEADOW DRIVE SUITE 107
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867
Practice Address - Country:US
Practice Address - Phone:781-944-5443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA224289171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist