Provider Demographics
NPI:1396816807
Name:ORCHARD, MICHELE (DC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:ORCHARD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:578 S CHAMBERS RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-3606
Mailing Address - Country:US
Mailing Address - Phone:303-752-1982
Mailing Address - Fax:303-752-3318
Practice Address - Street 1:578 S CHAMBERS RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-3606
Practice Address - Country:US
Practice Address - Phone:303-752-1982
Practice Address - Fax:303-752-3318
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4247111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC47033Medicare ID - Type Unspecified