Provider Demographics
NPI:1669843017
Name:HOMAN, CAITLIN (DC)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:
Last Name:HOMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6741 S IVY WAY APT C3
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6242
Mailing Address - Country:US
Mailing Address - Phone:701-330-9702
Mailing Address - Fax:
Practice Address - Street 1:10268 W CENTENNIAL RD STE 105
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6423
Practice Address - Country:US
Practice Address - Phone:720-507-6375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor