Provider Demographics
NPI:1154466704
Name:WEBB SPINE, P.C.
Entity Type:Organization
Organization Name:WEBB SPINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-805-1127
Mailing Address - Street 1:18632 PONY EXPRESS DR
Mailing Address - Street 2:SUITE #102
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4011
Mailing Address - Country:US
Mailing Address - Phone:303-805-1127
Mailing Address - Fax:303-841-8350
Practice Address - Street 1:18632 PONY EXPRESS DR
Practice Address - Street 2:SUITE #102
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4011
Practice Address - Country:US
Practice Address - Phone:303-805-1127
Practice Address - Fax:303-841-8350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5340111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COV12437Medicare UPIN
CO808292Medicare PIN