Provider Demographics
NPI:1104197953
Name:KOLOWSKI HEALTHCARE LLC
Entity Type:Organization
Organization Name:KOLOWSKI HEALTHCARE LLC
Other - Org Name:KOLOWSKI CHIROPRACTIC AND WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-685-8060
Mailing Address - Street 1:1762 HOFFMAN DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4292
Mailing Address - Country:US
Mailing Address - Phone:970-685-8060
Mailing Address - Fax:888-630-5883
Practice Address - Street 1:1762 HOFFMAN DR
Practice Address - Street 2:SUITE H
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4292
Practice Address - Country:US
Practice Address - Phone:970-685-8060
Practice Address - Fax:888-630-5883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty