MEDICARE: MRS. ERIN CHRISTINE EMERSON 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	1612	CO

General Provider Information

NPI Number	:	1821305806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN CHRISTINE EMERSON L.AC

Provider Business Mailing Address
First Line	:	3319 W MONCRIEFF PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-3163
Country	:	US
Telephone Number	:	303-931-0811
Fax Number	:

Provider Business Practice Location Address
First Line	:	3319 W MONCRIEFF PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-3163
Country	:	US
Telephone Number	:	303-931-0811
Fax Number	:

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

Provider Enumeration Date	:	09/11/2010
Last Update Date	:	09/11/2010

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