Provider Demographics
NPI:1043383425
Name:KERIN, JANET (DC)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:KERIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2409
Mailing Address - Country:US
Mailing Address - Phone:303-660-4747
Mailing Address - Fax:303-660-9127
Practice Address - Street 1:104 4TH ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2409
Practice Address - Country:US
Practice Address - Phone:303-660-4747
Practice Address - Fax:303-660-9127
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3552111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO49063Medicare ID - Type Unspecified
CO46432Medicare UPIN