MEDICARE: DR. CONNIE MICHELE PRESSON L. 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	1553	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1558730606	OTHER	CO	COMMERCIAL INSURANCE

General Provider Information

NPI Number	:	1154613404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CONNIE MICHELE PRESSON L. AC.

Provider Business Mailing Address
First Line	:	1245 N HUMBOLDT ST APT 201
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-2441
Country	:	US
Telephone Number	:	303-885-4816
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 S JACKSON ST STE 412
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-3807
Country	:	US
Telephone Number	:	303-761-3208
Fax Number	:	303-761-3208

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

Provider Enumeration Date	:	05/04/2011
Last Update Date	:	03/28/2019

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