Provider Demographics
NPI:1780854786
Name:HERRINGTON, BETHANY JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:JEAN
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12995 SHERIDAN BLVD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1480
Mailing Address - Country:US
Mailing Address - Phone:303-466-3988
Mailing Address - Fax:303-466-3878
Practice Address - Street 1:12995 SHERIDAN BLVD
Practice Address - Street 2:SUITE #101
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1480
Practice Address - Country:US
Practice Address - Phone:303-466-3988
Practice Address - Fax:303-466-3878
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6115111N00000X, 111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition