Provider Demographics
NPI:1265677595
Name:ALTERNATIVE CHIROPRACTIC CENTER,P.C.
Entity Type:Organization
Organization Name:ALTERNATIVE CHIROPRACTIC CENTER,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-504-3600
Mailing Address - Street 1:1805 S BELLAIRE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4309
Mailing Address - Country:US
Mailing Address - Phone:303-504-3600
Mailing Address - Fax:303-504-3605
Practice Address - Street 1:1805 S BELLAIRE ST STE 101
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4309
Practice Address - Country:US
Practice Address - Phone:303-504-3600
Practice Address - Fax:303-504-3605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5066111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty