Provider Demographics
NPI:1154613800
Name:TING & NICKOLAS ENTERPRISES, LLC
Entity type:Organization
Organization Name:TING & NICKOLAS ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-559-4550
Mailing Address - Street 1:7621 AUSTIN BLUFFS PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-2906
Mailing Address - Country:US
Mailing Address - Phone:719-559-4550
Mailing Address - Fax:719-559-4551
Practice Address - Street 1:7621 AUSTIN BLUFFS PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-2906
Practice Address - Country:US
Practice Address - Phone:719-559-4550
Practice Address - Fax:719-559-4551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO961171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty