Provider Demographics
NPI:1346365723
Name:CARTWRIGHT CHIROPRACTIC CLINIC, P.C.
Entity Type:Organization
Organization Name:CARTWRIGHT CHIROPRACTIC CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:CARTWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-255-6980
Mailing Address - Street 1:11990 GRANT ST STE 300
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1147
Mailing Address - Country:US
Mailing Address - Phone:303-255-6980
Mailing Address - Fax:303-255-6899
Practice Address - Street 1:11990 GRANT ST STE 300
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-1147
Practice Address - Country:US
Practice Address - Phone:303-255-6980
Practice Address - Fax:303-255-6899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU78206Medicare UPIN
CO488098Medicare ID - Type Unspecified