Provider Demographics
NPI:1770862062
Name:THE HEALING CENTER ALLERGY AND PAIN CLINIC INC.
Entity Type:Organization
Organization Name:THE HEALING CENTER ALLERGY AND PAIN CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STARLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-721-9800
Mailing Address - Street 1:7100 E BELLEVIEW AVE
Mailing Address - Street 2:STE 109
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1632
Mailing Address - Country:US
Mailing Address - Phone:303-721-9800
Mailing Address - Fax:
Practice Address - Street 1:7100 E BELLEVIEW AVE
Practice Address - Street 2:STE 109
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1632
Practice Address - Country:US
Practice Address - Phone:303-721-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4336111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty