Provider Demographics
NPI:1063636348
Name:SLIZESKI, JOHN CARY (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CARY
Last Name:SLIZESKI
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 1:8333 RALSTON ROAD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2355
Mailing Address - Country:US
Mailing Address - Phone:303-423-5000
Mailing Address - Fax:303-423-1062
Practice Address - Street 1:8333 RALSTON ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2355
Practice Address - Country:US
Practice Address - Phone:303-423-5000
Practice Address - Fax:303-423-1062
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor