Provider Demographics
NPI:1407027691
Name:DOWNTOWNS CHIROPRACTIC CENTRE
Entity Type:Organization
Organization Name:DOWNTOWNS CHIROPRACTIC CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:RADEMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-292-9992
Mailing Address - Street 1:1050 17TH ST # B197
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80265-1050
Mailing Address - Country:US
Mailing Address - Phone:303-292-9992
Mailing Address - Fax:303-292-9970
Practice Address - Street 1:1050 17TH ST # B197
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80265-1050
Practice Address - Country:US
Practice Address - Phone:303-292-9992
Practice Address - Fax:303-292-9970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty