Provider Demographics
NPI:1689815219
Name:CASS, MICHAEL (DC, LACU)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:CASS
Suffix:
Gender:M
Credentials:DC, LACU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11465 I 70 FRONTAGE RD N
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2101
Mailing Address - Country:US
Mailing Address - Phone:303-981-0785
Mailing Address - Fax:
Practice Address - Street 1:11465 I 70 FRONTAGE RD N
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2101
Practice Address - Country:US
Practice Address - Phone:303-981-0785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR5456111N00000X
171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist