Provider Demographics
NPI:1568701423
Name:CHIROPLUS WELLNESS CARE, LLC
Entity Type:Organization
Organization Name:CHIROPLUS WELLNESS CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-750-3000
Mailing Address - Street 1:10700 E BETHANY DR STE 207
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2680
Mailing Address - Country:US
Mailing Address - Phone:303-750-3000
Mailing Address - Fax:303-750-1100
Practice Address - Street 1:10700 E BETHANY DR STE 207
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2680
Practice Address - Country:US
Practice Address - Phone:303-750-3000
Practice Address - Fax:303-750-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6247111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOB5034OtherMEDICARE TRAILBLAZER
CAU91032Medicare UPIN