Active NPIIndividual provider

Tracey G Green, LIC AC

Acupuncturist in Marblehead, Massachusetts

NPI Number1467520361
Practice location
70 Atlantic Ave, Marblehead, MA 01945-3042
Fax
—
Last updated
July 8, 2007

Tracey G Green is an Acupuncturist based in Marblehead, MA. Tracey G Green practices in Marblehead, MA and has the professional credentials of LIC AC. The NPI Number for Tracey G Green is 1467520361 and holds a License No. 203406 (MA). The current practice location address for Tracey G Green is 70 Atlantic Ave, Marblehead, MA 01945-3042 and can be reached out via phone at 781-639-5141.

Provider Profile Details

NPI Number
1467520361
Provider Name
Tracey G Green
Credential
LIC AC
Provider Entity Type
Individual
Gender
Female
Address
70 Atlantic Ave, Marblehead, MA 01945-3042
Phone Number
781-639-5141
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
No
Provider Enumeration Date
December 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Atlantic Ave
Marblehead, MA 01945-3042
Zip
01945-3042
Phone Number
781-639-5141
Marblehead, MA 01945Get directions →

Provider Business Mailing Address Details

Address
19 Buena Vista RD
Marblehead, MA 01945-1327
City
Marblehead
State
MA
Zip
01945-1327
Phone Number
781-639-5141

License Information

License Number
203406
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 Tracey G Green, LIC AC?

The NPI number of Tracey G Green, LIC AC is 1467520361. It was assigned on December 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Tracey G Green, LIC AC?

Tracey G Green, LIC AC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in MA under license number 203406.

Where does Tracey G Green, LIC AC practice?

The practice location is 70 Atlantic Ave, Marblehead, MA 01945-3042. The office can be reached at 781-639-5141 (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 1467520361 directly on the NPPES registry website.

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