Provider Demographics
NPI:1073036620
Name:SHAWN VANWINKLE, DC, LL
Entity Type:Organization
Organization Name:SHAWN VANWINKLE, DC, LL
Other - Org Name:COLORADO INTEGRATIVE NEUROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:A
Authorized Official - Last Name:VANWINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-328-5076
Mailing Address - Street 1:8321 SANGRE DE CRISTO RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6426
Mailing Address - Country:US
Mailing Address - Phone:720-328-5076
Mailing Address - Fax:
Practice Address - Street 1:8321 SANGRE DE CRISTO RD STE 100
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6426
Practice Address - Country:US
Practice Address - Phone:720-328-5076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0006743111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty