Provider Demographics
NPI:1093815888
Name:PILLON, CORRIE L (DC)
Entity Type:Individual
Prefix:DR
First Name:CORRIE
Middle Name:L
Last Name:PILLON
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 1:6825 E HAMPDEN AVE
Mailing Address - Street 2:STE. 100
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3029
Mailing Address - Country:US
Mailing Address - Phone:303-756-1082
Mailing Address - Fax:303-758-9172
Practice Address - Street 1:6825 E HAMPDEN AVE
Practice Address - Street 2:STE. 100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3029
Practice Address - Country:US
Practice Address - Phone:303-756-1082
Practice Address - Fax:303-758-9172
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5267111N00000X, 171100000X, 111NI0900X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
No111NI0900XChiropractic ProvidersChiropractorInternist
No111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO624007OtherACN
COV05516Medicare UPIN
CO802252Medicare PIN