Provider Demographics
NPI:1639364094
Name:CADWELL CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:CADWELL CHIROPRACTIC, PC
Other - Org Name:IMPACT HEALTH & SPINE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:CADWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-996-2550
Mailing Address - Street 1:9660 RALSTON RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-4972
Mailing Address - Country:US
Mailing Address - Phone:303-996-2550
Mailing Address - Fax:303-996-2565
Practice Address - Street 1:9660 RALSTON RD
Practice Address - Street 2:SUITE 1
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4972
Practice Address - Country:US
Practice Address - Phone:303-996-2550
Practice Address - Fax:303-996-2565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5363111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty