Provider Demographics
NPI:1548358971
Name:NEUMANN, HELEN (LIC ACC)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:NEUMANN
Suffix:
Gender:F
Credentials:LIC ACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 148
Mailing Address - Street 2:
Mailing Address - City:CHILMARK
Mailing Address - State:MA
Mailing Address - Zip Code:02535
Mailing Address - Country:US
Mailing Address - Phone:508-645-9934
Mailing Address - Fax:508-693-7473
Practice Address - Street 1:489 STATE ROAD
Practice Address - Street 2:
Practice Address - City:WEST TISBURY
Practice Address - State:MA
Practice Address - Zip Code:02575
Practice Address - Country:US
Practice Address - Phone:508-693-3800
Practice Address - Fax:508-693-7473
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226461171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
C0Y69576Medicare ID - Type Unspecified