Provider Demographics
NPI:1083809446
Name:DIPAUL;, MICHAEL E (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:E
Last Name:DIPAUL;
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 1:1350 CHAMBERS RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-7194
Mailing Address - Country:US
Mailing Address - Phone:303-577-2040
Mailing Address - Fax:303-577-0201
Practice Address - Street 1:1350 CHAMBERS RD
Practice Address - Street 2:SUITE 103
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-7194
Practice Address - Country:US
Practice Address - Phone:303-577-2040
Practice Address - Fax:303-577-0201
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV07704Medicare UPIN
NYX03R91Medicare PIN