Provider Demographics
NPI:1073652483
Name:BRINKMAN, REBECCA ANN (DC)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANN
Last Name:BRINKMAN
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 1:8753 YATES DR
Mailing Address - Street 2:#104
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-6947
Mailing Address - Country:US
Mailing Address - Phone:303-429-4104
Mailing Address - Fax:303-429-4171
Practice Address - Street 1:8753 YATES DR
Practice Address - Street 2:#104
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6947
Practice Address - Country:US
Practice Address - Phone:303-429-4104
Practice Address - Fax:303-429-4171
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2541111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC23-23503Medicare ID - Type UnspecifiedPROVICER ID WITH MEDICARE