Provider Demographics
NPI:1629269857
Name:CHIRO-ONE HEALTH CENTER, LLC
Entity Type:Organization
Organization Name:CHIRO-ONE HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUGKI
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SOHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-695-4760
Mailing Address - Street 1:1555 S HAVANA ST UNIT M
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5034
Mailing Address - Country:US
Mailing Address - Phone:303-695-4760
Mailing Address - Fax:303-695-7960
Practice Address - Street 1:1555 S HAVANA ST UNIT M
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5034
Practice Address - Country:US
Practice Address - Phone:303-695-4760
Practice Address - Fax:303-695-7960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5220111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty