Provider Demographics
NPI:1518912161
Name:BENINK, MEI LIE F (DIPL OM, LIC AC)
Entity Type:Individual
Prefix:MS
First Name:MEI LIE
Middle Name:F
Last Name:BENINK
Suffix:
Gender:F
Credentials:DIPL OM, LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7995 E MISSISSIPPI AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6836
Mailing Address - Country:US
Mailing Address - Phone:303-322-4124
Mailing Address - Fax:303-322-4124
Practice Address - Street 1:3443 S GALENA ST
Practice Address - Street 2:#100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5079
Practice Address - Country:US
Practice Address - Phone:303-691-0664
Practice Address - Fax:303-322-4124
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO286171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist