Provider Demographics
NPI:1043464696
Name:DOCTORS CHIROPRACTIC CENTER, INC
Entity Type:Organization
Organization Name:DOCTORS CHIROPRACTIC CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-380-0222
Mailing Address - Street 1:3225 AUSTIN BLUFFS PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-5767
Mailing Address - Country:US
Mailing Address - Phone:719-380-0222
Mailing Address - Fax:719-380-0221
Practice Address - Street 1:3225 AUSTIN BLUFFS PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-5767
Practice Address - Country:US
Practice Address - Phone:719-380-0222
Practice Address - Fax:719-380-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1771111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty