Provider Demographics
NPI:1710592779
Name:AO COLORADO PLLC
Entity Type:Organization
Organization Name:AO COLORADO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SCHUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-693-5100
Mailing Address - Street 1:14901 E. HAMPDEN AVE
Mailing Address - Street 2:SUITE 180
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5055
Mailing Address - Country:US
Mailing Address - Phone:303-693-5100
Mailing Address - Fax:303-693-6082
Practice Address - Street 1:6901 S. YOSEMITE STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1413
Practice Address - Country:US
Practice Address - Phone:303-221-1223
Practice Address - Fax:303-770-6018
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AO COLORADO PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty