Provider Demographics
NPI:1083758825
Name:HAUSSLER, RICK LEON (DC)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:LEON
Last Name:HAUSSLER
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 1:14799 W 6TH AVE
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5298
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14799 W 6TH AVE
Practice Address - Street 2:SUITE B-1
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5298
Practice Address - Country:US
Practice Address - Phone:303-384-0052
Practice Address - Fax:303-384-3308
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR-4878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO49023Medicare ID - Type Unspecified