Provider Demographics
NPI:1518027952
Name:COLUMBINE NATURAL HEALTH CENTERS PC
Entity Type:Organization
Organization Name:COLUMBINE NATURAL HEALTH CENTERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ISAACS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-757-4433
Mailing Address - Street 1:4101 E WESLEY AVE
Mailing Address - Street 2:SUITE 11
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6050
Mailing Address - Country:US
Mailing Address - Phone:303-757-4433
Mailing Address - Fax:303-757-4410
Practice Address - Street 1:4101 E WESLEY AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6050
Practice Address - Country:US
Practice Address - Phone:303-757-4433
Practice Address - Fax:303-757-4410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5872111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty