MEDICARE: BARBARA GOOD LICENSED AC

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	225	MT

General Provider Information

NPI Number	:	1942470786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA GOOD LICENSED AC

Provider Business Mailing Address
First Line	:	1415 NORTHWEST BYP STE 1
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-1710
Country	:	US
Telephone Number	:	406-750-3802
Fax Number	:	406-453-0206

Provider Business Practice Location Address
First Line	:	1415 NORTHWEST BYP STE 1
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59404-1710
Country	:	US
Telephone Number	:	406-750-3802
Fax Number	:	406-453-0206

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2008
Last Update Date	:	01/30/2020

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Directions to “ BARBARA GOOD LICENSED AC” Practice Location

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