MEDICARE: DR. JAMES J MAGUIRE D.AC., 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	AP69	FL
2	171100000X	Acupuncturist	DA00015	RI
3	171100000X	Acupuncturist	508	CO

General Provider Information

NPI Number	:	1215157920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES J MAGUIRE D.AC., L.AC.

Provider Business Mailing Address
First Line	:	2853 FRONT ROYAL DRIVE
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-4204
Country	:	US
Telephone Number	:	719-332-4555
Fax Number	:

Provider Business Practice Location Address
First Line	:	2853 FRONT ROYAL DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919
Country	:	US
Telephone Number	:	719-332-4555
Fax Number	:

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

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	07/02/2018

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