Provider Demographics
NPI:1508663766
Name:ACUPUNCTURE ONE LLC
Entity type:Organization
Organization Name:ACUPUNCTURE ONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:RODOWCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-757-9887
Mailing Address - Street 1:W6905 PARKVIEW DR STE A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54942-9099
Mailing Address - Country:US
Mailing Address - Phone:920-757-9887
Mailing Address - Fax:920-221-3337
Practice Address - Street 1:W6905 PARKVIEW DR STE A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:WI
Practice Address - Zip Code:54942-9099
Practice Address - Country:US
Practice Address - Phone:920-757-9887
Practice Address - Fax:920-221-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty