Provider Demographics
NPI:1346648078
Name:DEBORAH RIEKEMAN DC PC
Entity Type:Organization
Organization Name:DEBORAH RIEKEMAN DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEKEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-632-6988
Mailing Address - Street 1:708 N TEJON ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-4752
Mailing Address - Country:US
Mailing Address - Phone:719-632-6988
Mailing Address - Fax:719-633-8892
Practice Address - Street 1:708 N TEJON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-4752
Practice Address - Country:US
Practice Address - Phone:719-632-6988
Practice Address - Fax:719-633-8892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty