Provider Demographics
NPI:1871746693
Name:NORTH CAPE ACUPUNCTURE
Entity type:Organization
Organization Name:NORTH CAPE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KITAZAKI
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED ACUPUNCTUR
Authorized Official - Phone:414-803-2397
Mailing Address - Street 1:2321 E CAPITOL DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SHOREWOOD
Mailing Address - State:WI
Mailing Address - Zip Code:53211-2119
Mailing Address - Country:US
Mailing Address - Phone:414-803-2397
Mailing Address - Fax:
Practice Address - Street 1:2321 E CAPITOL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SHOREWOOD
Practice Address - State:WI
Practice Address - Zip Code:53211-2119
Practice Address - Country:US
Practice Address - Phone:414-803-2397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI465055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty