Provider Demographics
NPI:1649577503
Name:DR M NOBBE LLC
Entity Type:Organization
Organization Name:DR M NOBBE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:NOBBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-996-9700
Mailing Address - Street 1:469 S CHERRY ST
Mailing Address - Street 2:STE 220
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1217
Mailing Address - Country:US
Mailing Address - Phone:303-996-9700
Mailing Address - Fax:303-996-9701
Practice Address - Street 1:469 S CHERRY ST
Practice Address - Street 2:STE 220
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1217
Practice Address - Country:US
Practice Address - Phone:303-996-9700
Practice Address - Fax:303-996-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5243111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty