Provider Demographics
NPI:1548583941
Name:WARE, AMBER ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:ANN
Last Name:WARE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-3909
Mailing Address - Country:US
Mailing Address - Phone:970-249-4213
Mailing Address - Fax:970-240-8094
Practice Address - Street 1:700 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-3975
Practice Address - Country:US
Practice Address - Phone:970-249-4213
Practice Address - Fax:970-240-8094
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO6575OtherCHIROPRACTIC