MEDICARE: RONA'S ACUPUNCTURE CLINIC

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

General Provider Information

NPI Number	:	1235429028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONA'S ACUPUNCTURE CLINIC

Provider Business Mailing Address
First Line	:	6665 DELMONICO DR
Second Line	:	SUITE E
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-6801
Country	:	US
Telephone Number	:	719-528-6285
Fax Number	:	719-266-4512

Provider Business Practice Location Address
First Line	:	6665 DELMONICO DR
Second Line	:	SUITE E
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-6801
Country	:	US
Telephone Number	:	719-528-6285
Fax Number	:	719-266-4512

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	RONGHUA BIAN
Credential	:
Telephone Number	:	719-528-6285

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	04/13/2011

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