Provider Demographics
NPI:1568840171
Name:STINE CHIROPRACTIC & ASSOCIATES LLC
Entity Type:Organization
Organization Name:STINE CHIROPRACTIC & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:STINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-460-0168
Mailing Address - Street 1:1226 W ASH ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-4656
Mailing Address - Country:US
Mailing Address - Phone:970-460-0168
Mailing Address - Fax:970-460-0168
Practice Address - Street 1:1226 W ASH ST
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-4656
Practice Address - Country:US
Practice Address - Phone:970-460-0168
Practice Address - Fax:970-460-0168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty