Fannie T Koa, LICAC, DIPLOM
Acupuncturist in Somerville, Massachusetts
1588925077- Practice location
- 259 Elm St, Suite 300B, Somerville, MA 02144-2950
- Phone
- 617-294-9109
- Fax
- —
- Last updated
- February 15, 2017
Fannie Tan Koa is an Acupuncturist based in Somerville, MA. Fannie Tan Koa practices in Somerville, MA and has the professional credentials of LICAC, DIPLOM. The NPI Number for Fannie Tan Koa is 1588925077 and holds a License No. 253925 (MA). The current practice location address for Fannie Tan Koa is 259 Elm St, Suite 300B, Somerville, MA 02144-2950 and can be reached out via phone at 617-294-9109.
Provider Profile Details
- NPI Number
- 1588925077
- Provider Name
- Fannie Tan Koa
- Credential
- LICAC, DIPLOM
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 259 Elm St, Suite 300B, Somerville, MA 02144-2950
- Phone Number
- 617-294-9109
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 31, 2012
- Last Update Date
- February 15, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 259 Elm St
Suite 300B
Somerville, MA 02144-2950 - City
- Somerville
- State
- Massachusetts
- Zip
- 02144-2950
- Phone Number
- 617-294-9109
Provider Business Mailing Address Details
- Address
- 259 Elm St
Suite 300B
Somerville, MA 02144-2950 - City
- Somerville
- State
- MA
- Zip
- 02144-2950
- Phone Number
- 617-294-9109
License Information
- License Number (1)
- 253925
- License State (1)
- MA
- Taxonomy (1)
- Acupuncturist · 171100000X · Primary
- License Number (2)
- 205
- License State (2)
- NH
- Taxonomy (2)
- Acupuncturist · 171100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Acupuncturists near Somerville, MA
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- Cathy E Thomason, LIC ACAcupuncturist · NPI 1780703488
- Diana Shatz, LIC ACAcupuncturist · NPI 1588833800
- Eunhee K Belew, LIC ACAcupuncturist · NPI 1184781635
- Flying Turtle Healing ArtsAcupuncturist · NPI 1568996403
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Frequently Asked Questions
What is the NPI number of Fannie T Koa, LICAC, DIPLOM?
The NPI number of Fannie T Koa, LICAC, DIPLOM is 1588925077. It was assigned on May 31, 2012 and is currently active in the NPPES registry.
What is the specialty of Fannie T Koa, LICAC, DIPLOM?
Fannie T Koa, LICAC, DIPLOM is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in MA under license number 253925.
Where does Fannie T Koa, LICAC, DIPLOM practice?
The practice location is 259 Elm St, Suite 300B, Somerville, MA 02144-2950. The office can be reached at 617-294-9109 (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 1588925077 directly on the NPPES registry website.