Provider Demographics
NPI:1083069751
Name:MELENEY, ERIC (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:MELENEY
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3165 ARNETT ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-2923
Mailing Address - Country:US
Mailing Address - Phone:720-560-1674
Mailing Address - Fax:
Practice Address - Street 1:2955 VALMONT RD STE 130
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1360
Practice Address - Country:US
Practice Address - Phone:720-560-1674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO779171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist