NPI 1205429693

George Jacob Rosenbaum, DIPLACLAC

Practitioner Acupuncturist Boise, ID

Practice location

Address: 10074 W Fairview Ave STE 150, Boise, ID 83704-5002
Phone: (540) 878-6041
Mailing address: 1656 S Loggers Pond Pl APT 22, Boise, ID 83706-7509

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence ACU-408 (ID)

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Registry record

NPI: 1205429693
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2021
Record last updated: 16 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.