Active NPIIndividual providerSole proprietor

Alexander Kisselgof, LIC AC

Acupuncturist in Vineyard Haven, Massachusetts

NPI Number1356545735
Practice location
20 Elm Street, Vineyard Haven, MA 02568-0933
Fax
—
Last updated
July 8, 2007

Alexander Kisselgof is an Acupuncturist based in Vineyard Haven, MA. Alexander Kisselgof practices in Vineyard Haven, MA and has the professional credentials of LIC AC. The NPI Number for Alexander Kisselgof is 1356545735 and holds a License No. 672 (MA). The current practice location address for Alexander Kisselgof is 20 Elm Street, Vineyard Haven, MA 02568-0933 and can be reached out via phone at 508-693-3060.

Provider Profile Details

NPI Number
1356545735
Provider Name
Alexander Kisselgof
Credential
LIC AC
Provider Entity Type
Individual
Gender
Male
Address
20 Elm Street, Vineyard Haven, MA 02568-0933
Phone Number
508-693-3060
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
June 12, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Elm Street
Vineyard Haven, MA 02568-0933
Zip
02568-0933
Phone Number
508-693-3060
Vineyard Haven, MA 02568Get directions →

Provider Business Mailing Address Details

Address
Po Box 4351
Vineyard Haven, MA 02568-0933
City
Vineyard Haven
State
MA
Zip
02568-0933
Phone Number
508-693-3060

License Information

License Number
672
License State
MA
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexander Kisselgof, LIC AC?

The NPI number of Alexander Kisselgof, LIC AC is 1356545735. It was assigned on June 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Alexander Kisselgof, LIC AC?

Alexander Kisselgof, LIC AC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in MA under license number 672.

Where does Alexander Kisselgof, LIC AC practice?

The practice location is 20 Elm Street, Vineyard Haven, MA 02568-0933. The office can be reached at 508-693-3060 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356545735 directly on the NPPES registry website.

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