MEDICARE: MS. MEI LIE F. BENINK DIPL. O.M., LIC. 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	286	CO

General Provider Information

NPI Number	:	1518912161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEI LIE F. BENINK DIPL. O.M., LIC. AC.

Provider Business Mailing Address
First Line	:	7995 E MISSISSIPPI AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-6836
Country	:	US
Telephone Number	:	303-322-4124
Fax Number	:	303-322-4124

Provider Business Practice Location Address
First Line	:	3443 S GALENA ST
Second Line	:	#100
City	:	DENVER
State	:	CO
Zip	:	80231-5079
Country	:	US
Telephone Number	:	303-691-0664
Fax Number	:	303-322-4124

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	07/08/2007

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