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Contact Information

JACKIE KOEKKOEK, MSOM, L AC., LMBT
1105 NEW POINTE BLVD
LELAND, NC28451-4127
 Phone: 303-775-9908
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JACKIE KOEKKOEK · (Female)

NPI Number 1265784938
Status Active
Credentials MSOM, L AC., LMBT
Entity Individual
Enumeration date 10/05/2012
Last updated 10/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 639
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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