Jackie Koekkoek, MSOM, L AC, LMBT - Acupuncturist in Leland, NC

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Jackie Koekkoek, MSOM, L AC, LMBT is a Acupuncturist based in Leland, North Carolina. Jackie Koekkoek is licensed to practice in North Carolina (license number 639) and her current practice location is 1105 New Pointe Blvd, Leland, North Carolina. She can be reached at her office (for appointments etc.) via phone at (303) 775-9908.

NPI number for Jackie Koekkoek is 1265784938 and her current mailing address is 141 Muscadine Trl, Wallace, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265784938.

Contact Information

Jackie Koekkoek, MSOM, L AC, LMBT
1105 New Pointe Blvd,
Leland, NC 28451-4127
(303) 775-9908
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJackie Koekkoek
GenderFemale
SpecialityAcupuncturist
Location1105 New Pointe Blvd, Leland, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265784938
  • Provider Enumeration Date: 10/05/2012
  • Last Update Date: 10/05/2012

Medical Identifiers

Medical identifiers for Jackie Koekkoek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265784938NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist 639 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Koekkoek is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jackie Koekkoek, MSOM, L AC, LMBT
141 Muscadine Trl,
Wallace, NC 28466-2365

Ph: (303) 775-9908		Jackie Koekkoek, MSOM, L AC, LMBT
1105 New Pointe Blvd,
Leland, NC 28451-4127

Ph: (303) 775-9908

Reviews and Comments


Acupuncturist in Leland, NC


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