Provider Demographics
NPI:1336287069
Name:SWENSON, ADRIAN W (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:W
Last Name:SWENSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6073 W 44TH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4752
Mailing Address - Country:US
Mailing Address - Phone:303-456-0850
Mailing Address - Fax:
Practice Address - Street 1:6073 W 44TH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4752
Practice Address - Country:US
Practice Address - Phone:303-456-0850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1663111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO14453Medicare ID - Type Unspecified