Provider Demographics
NPI:1609114560
Name:SENSIBLE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:SENSIBLE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:STABILE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:719-422-3346
Mailing Address - Street 1:9951 CUB LAKE TRL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-1213
Mailing Address - Country:US
Mailing Address - Phone:719-422-3346
Mailing Address - Fax:
Practice Address - Street 1:1880 DUBLIN BLVD STE E
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1224
Practice Address - Country:US
Practice Address - Phone:719-422-3346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-27
Last Update Date:2013-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006945261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center