Healthcare Provider Details
I. General information
NPI: 1457737819
Provider Name (Legal Business Name): ACUPUNCTURE PHYSICIANS OF COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2015
Last Update Date: 08/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9101 HARLAN ST # 350
WESTMINSTER CO
80031-2924
US
IV. Provider business mailing address
9101 HARLAN ST # 350
WESTMINSTER CO
80031-2924
US
V. Phone/Fax
- Phone: 720-381-6100
- Fax: 720-381-6133
- Phone: 720-381-6100
- Fax: 720-381-6133
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | 32689 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 204D00000X |
| Taxonomy | Neuromusculoskeletal Medicine & OMM Physician |
| License Number | 32689 |
| License Number State | CO |
VIII. Authorized Official
Name: DR.
ROSALIE
A.
BONDI
Title or Position: PHYSICIAN/PRESIDENT
Credential: D.O.
Phone: 720-381-6100