Provider Demographics
NPI:1336692888
Name:LINDHOLM, SPENCER (DC)
Entity Type:Individual
Prefix:
First Name:SPENCER
Middle Name:
Last Name:LINDHOLM
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 1:10111 INVERNESS MAIN ST
Mailing Address - Street 2:UNIT D
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5722
Mailing Address - Country:US
Mailing Address - Phone:720-420-0640
Mailing Address - Fax:720-638-2079
Practice Address - Street 1:10111 INVERNESS MAIN ST
Practice Address - Street 2:UNIT D
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5722
Practice Address - Country:US
Practice Address - Phone:720-420-0640
Practice Address - Fax:720-638-2079
Is Sole Proprietor?:No
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007433111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor