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NPI Code Detail

MEDICARE: TING & NICKOLAS ENTERPRISES, LLC

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
1171100000XAcupuncturist961CO

General Provider Information

NPI Number : 1154613800
Entity Type Code : Organization
Provider Name (Legal Business Name) : TING & NICKOLAS ENTERPRISES, LLC
Provider Business Mailing Address
First Line : 7621 AUSTIN BLUFFS PKWY
Second Line : SUITE 100
City : COLORADO SPRINGS
State : CO
Zip : 80920-2906
Country : US
Telephone Number : 719-559-4550
Fax Number : 719-559-4551
Provider Business Practice Location Address
First Line : 7621 AUSTIN BLUFFS PKWY
Second Line : SUITE 100
City : COLORADO SPRINGS
State : CO
Zip : 80920-2906
Country : US
Telephone Number : 719-559-4550
Fax Number : 719-559-4551
Authorized Official
Title or Position : OWNER
Name : MS. DEBBIE TING
Credential :
Telephone Number : 719-559-4550
Provider Enumeration Date : 05/12/2011
Last Update Date : 05/12/2011

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Directions to “TING & NICKOLAS ENTERPRISES, LLC ” Practice Location

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