Provider Demographics
NPI:1225723455
Name:100 CHIRO PAXIA PLLC
Entity Type:Organization
Organization Name:100 CHIRO PAXIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAXIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-204-4078
Mailing Address - Street 1:1892 S FAIRFAX ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4448
Mailing Address - Country:US
Mailing Address - Phone:303-204-4078
Mailing Address - Fax:
Practice Address - Street 1:1892 S FAIRFAX ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4448
Practice Address - Country:US
Practice Address - Phone:303-204-4078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty