Provider Demographics
NPI:1376898478
Name:MALHIOT, CHASE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHASE
Middle Name:
Last Name:MALHIOT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 W DARTMOUTH AVE
Mailing Address - Street 2:408
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5515
Mailing Address - Country:US
Mailing Address - Phone:720-379-3319
Mailing Address - Fax:303-954-9993
Practice Address - Street 1:5353 W DARTMOUTH AVE
Practice Address - Street 2:408
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80227-5515
Practice Address - Country:US
Practice Address - Phone:720-379-3319
Practice Address - Fax:303-954-9993
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6804111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor