Active NPIIndividual provider

Eliza Mellen-Smith, LIC AC

Acupuncturist in Marblehead, Massachusetts

NPI Number1700901659
Practice location
16 Bassett St, Marblehead, MA 01945-3362
Fax
—
Last updated
July 8, 2007

Eliza Mellen-Smith is an Acupuncturist based in Marblehead, MA. Eliza Mellen-Smith practices in Marblehead, MA and has the professional credentials of LIC AC. The NPI Number for Eliza Mellen-Smith is 1700901659 and holds a License No. 212684 (MA). The current practice location address for Eliza Mellen-Smith is 16 Bassett St, Marblehead, MA 01945-3362 and can be reached out via phone at 508-878-5170.

Provider Profile Details

NPI Number
1700901659
Provider Name
Eliza Mellen-Smith
Credential
LIC AC
Provider Entity Type
Individual
Gender
Female
Address
16 Bassett St, Marblehead, MA 01945-3362
Phone Number
508-878-5170
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Bassett St
Marblehead, MA 01945-3362
Zip
01945-3362
Phone Number
508-878-5170
Marblehead, MA 01945Get directions →

Provider Business Mailing Address Details

Address
16 Bassett St
Marblehead, MA 01945-3362
City
Marblehead
State
MA
Zip
01945-3362
Phone Number
508-878-5170

License Information

License Number
212684
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 Eliza Mellen-Smith, LIC AC?

The NPI number of Eliza Mellen-Smith, LIC AC is 1700901659. It was assigned on March 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Eliza Mellen-Smith, LIC AC?

Eliza Mellen-Smith, LIC AC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in MA under license number 212684.

Where does Eliza Mellen-Smith, LIC AC practice?

The practice location is 16 Bassett St, Marblehead, MA 01945-3362. The office can be reached at 508-878-5170 (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 1700901659 directly on the NPPES registry website.

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