Provider Demographics
NPI:1114109576
Name:ALL ABOUT CHIROPRACTIC - NORTH DENVER, PLLC
Entity Type:Organization
Organization Name:ALL ABOUT CHIROPRACTIC - NORTH DENVER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PRIMUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-457-2994
Mailing Address - Street 1:12774 COLORADO BLVD
Mailing Address - Street 2:SUITE 141
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-2888
Mailing Address - Country:US
Mailing Address - Phone:303-457-2994
Mailing Address - Fax:303-457-1094
Practice Address - Street 1:12774 COLORADO BLVD
Practice Address - Street 2:SUITE 141
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-2888
Practice Address - Country:US
Practice Address - Phone:303-457-2994
Practice Address - Fax:303-457-1094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5907261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center