Provider Demographics
NPI:1457669558
Name:CARIBOU HILL FAMILY CHIROPRACTIC & ACUPUNCTURE
Entity Type:Organization
Organization Name:CARIBOU HILL FAMILY CHIROPRACTIC & ACUPUNCTURE
Other - Org Name:ACCELERATED REHAB THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:GINN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-352-7848
Mailing Address - Street 1:2928 W 10TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-5426
Mailing Address - Country:US
Mailing Address - Phone:970-352-7848
Mailing Address - Fax:
Practice Address - Street 1:2928 W 10TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-5426
Practice Address - Country:US
Practice Address - Phone:970-352-7848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO505338Medicare PIN
COU96151Medicare UPIN