Provider Demographics
NPI:1104191774
Name:BITZ CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BITZ CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:BITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-437-9707
Mailing Address - Street 1:13125 W 2ND PL
Mailing Address - Street 2:APT 2526
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228
Mailing Address - Country:US
Mailing Address - Phone:720-437-9707
Mailing Address - Fax:
Practice Address - Street 1:11068 W JEWELL AVE
Practice Address - Street 2:C-10
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6121
Practice Address - Country:US
Practice Address - Phone:720-437-9707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty