MEDICARE: TING & NICKOLAS ENTERPRISES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	CO 961	CO

General Provider Information

NPI Number	:	1053431197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TING & NICKOLAS ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	4855 CHARIOT DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-8706
Country	:	US
Telephone Number	:	719-264-7696
Fax Number	:	719-559-4551

Provider Business Practice Location Address
First Line	:	7710 N UNION BLVD
Second Line	:	SUITE 100
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-4030
Country	:	US
Telephone Number	:	719-559-4550
Fax Number	:	719-559-4551

Authorized Official
Title or Position	:	OWNER
Name	:	MS. DEBBIE HSIAO KI TING
Credential	:	L.AC
Telephone Number	:	719-559-4550

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	08/22/2020

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