Provider Demographics
NPI:1538280672
Name:AFFINITY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:AFFINITY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCCLURKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-488-0541
Mailing Address - Street 1:7853 E ARAPAHOE CT STE 2200
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6816
Mailing Address - Country:US
Mailing Address - Phone:720-488-0541
Mailing Address - Fax:720-488-0552
Practice Address - Street 1:7853 E ARAPAHOE CT STE 2200
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-6816
Practice Address - Country:US
Practice Address - Phone:720-488-0541
Practice Address - Fax:720-488-0552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty