Provider Demographics
NPI:1366469256
Name:WARHURST, CRAIG E (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:E
Last Name:WARHURST
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1010 DEPOT HILL RD
Mailing Address - Street 2:#104
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-6722
Mailing Address - Country:US
Mailing Address - Phone:303-464-9282
Mailing Address - Fax:303-464-9752
Practice Address - Street 1:1010 DEPOT HILL RD
Practice Address - Street 2:#104
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-6722
Practice Address - Country:US
Practice Address - Phone:303-464-9282
Practice Address - Fax:303-464-9752
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC48923OtherMEDICARE