Provider Demographics
NPI:1366647570
Name:FURLER, AMBER L (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:L
Last Name:FURLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:AMBER
Other - Middle Name:L
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2628 DUBLIN DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-3390
Mailing Address - Country:US
Mailing Address - Phone:303-704-3404
Mailing Address - Fax:
Practice Address - Street 1:2628 DUBLIN DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-3390
Practice Address - Country:US
Practice Address - Phone:303-704-3404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6052111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO40099Medicare PIN