National Provider Identifier Database

DEREK MARRONGELLE, DACM, L.AC., CCN – NPI #1417581539
Acupuncturist

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.


Contact Information

DEREK MARRONGELLE, DACM, L.AC., CCN
16421 N TATUM BLVD STE 210
PHOENIX, AZ85032-3457
Phone: 570-617-9005
Fax:
Website:
Specialty Taxonomy Code
* Acupuncturist 171100000X
Nutritionist 133N00000X

* Indicates primary specialty

NPI Profile & details for DEREK MARRONGELLE

NPI Number 1417581539
Credentials DACM, L.AC., CCN
Entity Individual
Enumeration date 02/27/2020
Last updated 08/25/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • License #: 5063
  • AZ License #: LAC-010133
Hospital affiliation n/a

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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