MEDICARE: ASHLEY NICOLE DROLLINGER 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	MED-ACU-LIC-88896	MT

General Provider Information

NPI Number	:	1922618370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY NICOLE DROLLINGER L.AC.

Provider Business Mailing Address
First Line	:	145 MILL TOWN LOOP STE A
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-5144
Country	:	US
Telephone Number	:	406-595-0073
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 MILL TOWN LOOP STE A
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-5144
Country	:	US
Telephone Number	:	208-313-7174
Fax Number	:

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

Provider Enumeration Date	:	07/31/2020
Last Update Date	:	04/27/2021

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