Provider Demographics
NPI:1326334996
Name:VELABRAEGGER LLC
Entity Type:Organization
Organization Name:VELABRAEGGER LLC
Other - Org Name:PARKER FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BRAEGGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-840-5090
Mailing Address - Street 1:10158 S PARKER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-9801
Mailing Address - Country:US
Mailing Address - Phone:303-840-5090
Mailing Address - Fax:303-840-5015
Practice Address - Street 1:10158 S PARKER RD
Practice Address - Street 2:SUITE B
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-9801
Practice Address - Country:US
Practice Address - Phone:303-840-5090
Practice Address - Fax:303-840-5015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6664111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty