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Contact Information

MAUREEN A MCNULTY, L.AC., LMT, DIPL OM
148 EAST STATE STREET
SUITE A
BURLINGTON, WI53105
 Phone: 773-677-8458
 Fax: 262-995-1422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for MAUREEN A MCNULTY · (Female)

NPI # 1043654288
Status Active
Credentials L.AC., LMT, DIPL OM
Entity Individual
Enumeration date 04/18/2013
Last updated 07/28/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 5060-146
  • WI License # 660-055
  • WI Other 817175493 UNITEDHEALTHCARE INSURANCE COMPANY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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