MEDICARE: MR. DANIEL CHRIS BILLINGSLEY L. AC., DIPL. 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	ACU-1581	CO

General Provider Information

NPI Number	:	1881911162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL CHRIS BILLINGSLEY L. AC., DIPL. AC.

Provider Business Mailing Address
First Line	:	5555 ERINDALE DR
Second Line	:	SUITE 102
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-6736
Country	:	US
Telephone Number	:	719-344-9083
Fax Number	:	719-344-9084

Provider Business Practice Location Address
First Line	:	5555 ERINDALE DR
Second Line	:	SUITE 102
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-6736
Country	:	US
Telephone Number	:	719-344-9083
Fax Number	:	719-344-9084

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

Provider Enumeration Date	:	04/27/2010
Last Update Date	:	04/27/2010

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