Individual
MS. EWA PROKOPIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAC,LAC
Contact information
Practice address
17 VINE ST., DAMARISCOTTA, ME 04543
(207) 563-6607
(207) 563-6607
Mailing address
PO BOX 184, DAMARISCOTTA, ME 04543-0184
(207) 563-6607
(207) 563-6607
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC154
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018331ME
ANTHEM BCBS
ME
Enumeration date
03/05/2007
Last updated
07/08/2007
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