Provider Demographics
NPI:1588832240
Name:PAUL GEERSEN DC CCEP PC
Entity type:Organization
Organization Name:PAUL GEERSEN DC CCEP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:GEERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-471-4800
Mailing Address - Street 1:66 SPRINGER DR
Mailing Address - Street 2:SUITE 308
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2316
Mailing Address - Country:US
Mailing Address - Phone:303-471-4800
Mailing Address - Fax:805-299-4517
Practice Address - Street 1:66 SPRINGER DR
Practice Address - Street 2:SUITE 308
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2316
Practice Address - Country:US
Practice Address - Phone:303-471-4800
Practice Address - Fax:805-299-4517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2010-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5043111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty