Provider Demographics
NPI:1669654430
Name:HOSKINS CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:HOSKINS CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-772-7337
Mailing Address - Street 1:829 MAIN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-4954
Mailing Address - Country:US
Mailing Address - Phone:303-772-7337
Mailing Address - Fax:
Practice Address - Street 1:829 MAIN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-4954
Practice Address - Country:US
Practice Address - Phone:303-772-7337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5036111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC492738Medicare PIN