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Deactivated NPI 1891078523 Deactivated / Inactive NPI Female Practitioner

Eunice Yeonseung Jeon , LAC

Acupuncturist • Boise, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eunice Jeon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2011
NPI Deactivation Date January 26, 2012
Total Practice Duration ~1 Years of Practice (2011 – 2012)

Professional Overview & Biography Verified Profile Summary

Eunice Jeon, LAC was a registered Acupuncturist practicing in Boise, ID. Throughout an active medical career spanning 1 years, Eunice Jeon provided care at the practice location at 2235 S. BROADWAY AVE. until profile deactivation on 2012-01-26.

Practice Location & Contact Primary Location

Practice Address

2235 S. Broadway Ave.

Boise, ID 837064617

Telephone 2089011956
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Boise, ID (119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License ID ACU-275

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1922334739

MSOM, Master of Public Health, DHS, Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Reactivated March 16, 2012

Record officially reactivated for active practice on March 16, 2012

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Updated Practice Location March 16, 2012

Registered at 2235 S. BROADWAY AVE., BOISE, ID 837064617 (Tel: 2089011956)

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Updated Business Mailing Address March 16, 2012

Registered at 3000 N ESQUIRE DR, BOISE, ID 837046219 (Tel: 2089011956)

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Provider Name / Credentials Updated March 16, 2012

Recorded as EUNICE JEON, L.AC.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2012

Acupuncturist (License #ACU-275 in ID)

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NPI Profile Deactivated January 26, 2012

Record deactivated on January 26, 2012

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Initial NPI Registration & Enumeration September 20, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891078523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2011
Last Update: March 16, 2012
Deactivation Date: January 26, 2012
Sole Proprietor: Yes

Mailing Address

3000 N Esquire Dr

Boise, ID 837046219

Phone: 2089011956

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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