Provider Demographics
NPI:1083899272
Name:DUKES, MEGHAN ELIZABETH MACINTOSH (DC, PT)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ELIZABETH MACINTOSH
Last Name:DUKES
Suffix:
Gender:F
Credentials:DC, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:2844 FAIRFAX ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-2711
Mailing Address - Country:US
Mailing Address - Phone:720-376-9037
Mailing Address - Fax:
Practice Address - Street 1:2844 FAIRFAX ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-2711
Practice Address - Country:US
Practice Address - Phone:720-376-9037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL-9853225100000X
CO6186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO305835Medicare PIN