Active NPIIndividual providerSole proprietor

Alicia Demartin, MSOM LAC

Acupuncturist in Westbrook, Connecticut

NPI Number1710169339
Practice location
1921 Boston Post RD Ste 3, Westbrook, CT 06498-2171
Fax
860-661-5843
Last updated
April 21, 2021

Alicia Demartin is an Acupuncturist based in Westbrook, CT. Alicia Demartin practices in Westbrook, CT and has the professional credentials of MSOM LAC. The NPI Number for Alicia Demartin is 1710169339 and holds a License No. 0579 (CT). The current practice location address for Alicia Demartin is 1921 Boston Post RD Ste 3, Westbrook, CT 06498-2171 and can be reached out via phone at 860-661-5824 and via fax at 860-661-5843.

Provider Profile Details

NPI Number
1710169339
Provider Name
Alicia Demartin
Credential
MSOM LAC
Provider Entity Type
Individual
Gender
Female
Address
1921 Boston Post RD Ste 3, Westbrook, CT 06498-2171
Phone Number
860-661-5824
Fax Number
860-661-5843
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Other Names
Alicia Demartin, MIRES (Former Name)
Provider Enumeration Date
December 5, 2007
Last Update Date
April 21, 2021
Certification Date
March 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1921 Boston Post RD Ste 3
Westbrook, CT 06498-2171
Zip
06498-2171
Phone Number
860-661-5824
Fax Number
860-661-5843
Westbrook, CT 06498Get directions →

Provider Business Mailing Address Details

Address
125 Kirtland St
Deep River, CT 06417-1817
City
Deep River
State
CT
Zip
06417-1817
Phone Number
860-581-3286
Fax Number
860-767-7770

License Information

License Number
0579
License State
CT
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 Alicia Demartin, MSOM LAC?

The NPI number of Alicia Demartin, MSOM LAC is 1710169339. It was assigned on December 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Alicia Demartin, MSOM LAC?

Alicia Demartin, MSOM LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in CT under license number 0579.

Where does Alicia Demartin, MSOM LAC practice?

The practice location is 1921 Boston Post RD Ste 3, Westbrook, CT 06498-2171. The office can be reached at 860-661-5824 (phone) or 860-661-5843 (fax).

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 1710169339 directly on the NPPES registry website.

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