Provider Demographics
NPI:1164544136
Name:HELFRICH, JASON C (DC)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:C
Last Name:HELFRICH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 S TEJON ST STE 206
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1520
Mailing Address - Country:US
Mailing Address - Phone:719-630-4936
Mailing Address - Fax:719-635-0939
Practice Address - Street 1:18025 CALLE AMBIENTE
Practice Address - Street 2:STE 204
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92067
Practice Address - Country:US
Practice Address - Phone:858-367-8660
Practice Address - Fax:858-367-8966
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5641111N00000X
CA33933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33933OtherCHIROPRACTIC LICENSE
CA33933OtherCHIROPRACTIC LICENSE
COV02619Medicare UPIN