Provider Demographics
NPI:1710150800
Name:APEX FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:APEX FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:COUSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-423-1925
Mailing Address - Street 1:7200 W 44TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4722
Mailing Address - Country:US
Mailing Address - Phone:303-423-1925
Mailing Address - Fax:303-420-1123
Practice Address - Street 1:7200 W 44TH AVE
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4722
Practice Address - Country:US
Practice Address - Phone:303-423-1925
Practice Address - Fax:303-420-1123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15-65905-0000261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center