Provider Demographics
NPI:1659632115
Name:DOOLING, ADRIENNE (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:DOOLING
Suffix:
Gender:F
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:PO BOX 3926
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96160-3926
Mailing Address - Country:US
Mailing Address - Phone:808-315-0669
Mailing Address - Fax:
Practice Address - Street 1:12710 NORTHWOODS BLVD
Practice Address - Street 2:SUITE #1
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-5301
Practice Address - Country:US
Practice Address - Phone:808-315-0669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU995171100000X
CACA14245171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist