Provider Demographics
NPI:1154159192
Name:BRENNECKE ACUPUNCTURE, P.C.
Entity type:Organization
Organization Name:BRENNECKE ACUPUNCTURE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DOCTOR OF ACUPUNCTURE
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRENNECKE
Authorized Official - Suffix:
Authorized Official - Credentials:DAC
Authorized Official - Phone:978-571-9772
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-0092
Mailing Address - Country:US
Mailing Address - Phone:978-571-9772
Mailing Address - Fax:
Practice Address - Street 1:244 WALTON ST
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-5329
Practice Address - Country:US
Practice Address - Phone:978-571-9772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty