Provider Demographics
NPI:1225358104
Name:EUBANKS, ERIN LEIGH (DC)
Entity Type:Individual
Prefix:MISS
First Name:ERIN
Middle Name:LEIGH
Last Name:EUBANKS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 WEST CUCHARRAS STREET
Mailing Address - Street 2:SUITE 120
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-1621
Mailing Address - Country:US
Mailing Address - Phone:719-896-1600
Mailing Address - Fax:719-473-8806
Practice Address - Street 1:919 W CUCHARRAS ST
Practice Address - Street 2:SUITE 120
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-1648
Practice Address - Country:US
Practice Address - Phone:719-896-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-02
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6486111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor