Organization
ACUPUNCTURE & HERBS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL ALBERT KLOBAS M. AC. (LICENSED ACUPUNCTURIST)
(207) 621-0985
Entity
Organization
Contact information
Practice address
228 WATER ST, HALLOWELL, ME 04347-1335
(207) 621-0985
(207) 621-0985
Mailing address
228 WATER ST, HALLOWELL, ME 04347-1335
(207) 621-0985
(207) 621-0985
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC105
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022750
ANTHEM BCBS
ME
Enumeration date
03/09/2007
Last updated
08/22/2020
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