Provider Demographics
NPI:1437450632
Name:CHIROCARE PC
Entity Type:Organization
Organization Name:CHIROCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:TRUPPO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-745-4544
Mailing Address - Street 1:13170 E MISSISSIPPI AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3427
Mailing Address - Country:US
Mailing Address - Phone:303-745-4544
Mailing Address - Fax:303-745-0501
Practice Address - Street 1:13170 E MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3427
Practice Address - Country:US
Practice Address - Phone:303-745-4544
Practice Address - Fax:303-745-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2185111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty