Provider Demographics
NPI:1235435041
Name:ZUEHLKE, CARLY MAY (DC)
Entity Type:Individual
Prefix:DR
First Name:CARLY
Middle Name:MAY
Last Name:ZUEHLKE
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 1:1720 S. BELLAIRE ST, SUITE 406
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222
Mailing Address - Country:US
Mailing Address - Phone:303-758-1100
Mailing Address - Fax:303-997-1054
Practice Address - Street 1:1720 S BELLAIRE ST STE 406
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4312
Practice Address - Country:US
Practice Address - Phone:303-758-1100
Practice Address - Fax:303-997-1054
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR-6634111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOAAA1754Medicaid