Provider Demographics
NPI:1689734402
Name:FELL, DAWN M (DC)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:M
Last Name:FELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:13690 E ILIFF AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1368
Mailing Address - Country:US
Mailing Address - Phone:303-755-8665
Mailing Address - Fax:303-755-6043
Practice Address - Street 1:13690 E ILIFF AVE
Practice Address - Street 2:UNIT C
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1368
Practice Address - Country:US
Practice Address - Phone:303-755-8665
Practice Address - Fax:303-755-6043
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2024-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO3136111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC13193Medicare PIN