Provider Demographics
NPI:1508939489
Name:CARTWRIGHT, JEFFREY ALLEN (DC)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:ALLEN
Last Name:CARTWRIGHT
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 1:12050 PECOS ST STE 208
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2080
Mailing Address - Country:US
Mailing Address - Phone:720-943-1200
Mailing Address - Fax:720-943-1201
Practice Address - Street 1:12050 PECOS ST STE 208
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2080
Practice Address - Country:US
Practice Address - Phone:720-943-1200
Practice Address - Fax:720-943-1201
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU78206Medicare UPIN
CO488098Medicare ID - Type Unspecified