Provider Demographics
NPI:1477867471
Name:COLORADO ACUPUNCTURE STUDIO
Entity Type:Organization
Organization Name:COLORADO ACUPUNCTURE STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-918-1011
Mailing Address - Street 1:9777 S YOSEMITE ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LONETREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-3191
Mailing Address - Country:US
Mailing Address - Phone:303-918-1011
Mailing Address - Fax:303-539-3642
Practice Address - Street 1:9777 S YOSEMITE ST
Practice Address - Street 2:SUITE 110
Practice Address - City:LONETREE
Practice Address - State:CO
Practice Address - Zip Code:80124-3191
Practice Address - Country:US
Practice Address - Phone:303-918-1011
Practice Address - Fax:303-539-3642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-02
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1595171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty