Provider Demographics
NPI:1790811925
Name:ECKES CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:ECKES CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ECKES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-980-4600
Mailing Address - Street 1:8064 W JEWELL AVE UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6710
Mailing Address - Country:US
Mailing Address - Phone:303-980-4600
Mailing Address - Fax:303-980-8301
Practice Address - Street 1:8064 W JEWELL AVE UNIT 101
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6710
Practice Address - Country:US
Practice Address - Phone:303-980-4600
Practice Address - Fax:303-980-8301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COU54100Medicare UPIN
CO29283Medicare ID - Type Unspecified