Provider Demographics
NPI:1790997633
Name:ADVANCED CARE CHIROPRACTIC & REHABILITATION
Entity Type:Organization
Organization Name:ADVANCED CARE CHIROPRACTIC & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MILES
Authorized Official - Middle Name:
Authorized Official - Last Name:DOWSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-799-8108
Mailing Address - Street 1:9606 E ARAPAHOE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:303-799-8108
Mailing Address - Fax:303-799-8139
Practice Address - Street 1:9606 E ARAPAHOE RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-799-8108
Practice Address - Fax:303-799-8139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5530111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO804180Medicare ID - Type Unspecified
COU82768Medicare UPIN