Provider Demographics
NPI:1336281351
Name:MAY, BONNIE E (DC)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:E
Last Name:MAY
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 1:525 N CASCADE AVE
Mailing Address - Street 2:STE 132
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3308
Mailing Address - Country:US
Mailing Address - Phone:719-444-0700
Mailing Address - Fax:719-960-3292
Practice Address - Street 1:525 N CASCADE AVE
Practice Address - Street 2:STE 132
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3308
Practice Address - Country:US
Practice Address - Phone:719-444-0700
Practice Address - Fax:719-444-0705
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1714111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
C802914Medicare ID - Type Unspecified