Active NPIIndividual provider

Matthew S Prouty, LIC AC

Acupuncturist in Watertown, Massachusetts

NPI Number1508909078
Practice location
67 Palfrey St, # 2, Watertown, MA 02472-4705
Fax
—
Last updated
July 8, 2007

Matthew S Prouty is an Acupuncturist based in Watertown, MA. Matthew S Prouty practices in Watertown, MA and has the professional credentials of LIC AC. The NPI Number for Matthew S Prouty is 1508909078 and holds a License No. 226520 (MA). The current practice location address for Matthew S Prouty is 67 Palfrey St, # 2, Watertown, MA 02472-4705 and can be reached out via phone at 617-393-1688.

Provider Profile Details

NPI Number
1508909078
Provider Name
Matthew S Prouty
Credential
LIC AC
Provider Entity Type
Individual
Gender
Male
Address
67 Palfrey St, # 2, Watertown, MA 02472-4705
Phone Number
617-393-1688
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
No
Provider Enumeration Date
February 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Palfrey St
# 2
Watertown, MA 02472-4705
Zip
02472-4705
Phone Number
617-393-1688
Watertown, MA 02472Get directions →

Provider Business Mailing Address Details

Address
67 Palfrey St
# 2
Watertown, MA 02472-4705
City
Watertown
State
MA
Zip
02472-4705
Phone Number
617-393-1688

License Information

License Number
226520
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 Matthew S Prouty, LIC AC?

The NPI number of Matthew S Prouty, LIC AC is 1508909078. It was assigned on February 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Matthew S Prouty, LIC AC?

Matthew S Prouty, LIC AC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in MA under license number 226520.

Where does Matthew S Prouty, LIC AC practice?

The practice location is 67 Palfrey St, # 2, Watertown, MA 02472-4705. The office can be reached at 617-393-1688 (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 1508909078 directly on the NPPES registry website.

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