Provider Demographics
NPI:1003959123
Name:COLPITTS, MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:COLPITTS
Suffix:
Gender:M
Credentials:DC
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 8370
Mailing Address - Street 2:
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96162-8370
Mailing Address - Country:US
Mailing Address - Phone:530-214-7020
Mailing Address - Fax:530-214-7022
Practice Address - Street 1:11425 DONNER PASS RD
Practice Address - Street 2:SUITE 12A
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-4952
Practice Address - Country:US
Practice Address - Phone:530-214-7020
Practice Address - Fax:530-214-7020
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1725111N00000X
CA33532111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor