Provider Demographics
NPI:1376785345
Name:GENERATIONS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:GENERATIONS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKI
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-681-6834
Mailing Address - Street 1:13900 E HARVARD AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-7353
Mailing Address - Country:US
Mailing Address - Phone:303-681-6834
Mailing Address - Fax:
Practice Address - Street 1:13900 E HARVARD AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-7353
Practice Address - Country:US
Practice Address - Phone:303-681-6834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6334111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty