1568701423 NPI number — CHIROPLUS WELLNESS CARE, LLC

Table of content: (NPI 1568701423)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568701423 NPI number — CHIROPLUS WELLNESS CARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHIROPLUS WELLNESS CARE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568701423
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/19/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10700 E BETHANY DR STE 207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AURORA
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80014-2680
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-750-3000
Provider Business Mailing Address Fax Number:
303-750-1100

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10700 E BETHANY DR STE 207
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80014-2680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-750-3000
Provider Business Practice Location Address Fax Number:
303-750-1100
Provider Enumeration Date:
02/12/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHOI
Authorized Official First Name:
ERIC
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
MEMBER
Authorized Official Telephone Number:
303-750-3000

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  6247 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: COB5034 . This is a "MEDICARE TRAILBLAZER" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".