Provider Demographics
NPI:1811366412
Name:CORE HEALTH CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:CORE HEALTH CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:CARTWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-943-1200
Mailing Address - Street 1:12050 PECOS ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2080
Mailing Address - Country:US
Mailing Address - Phone:720-943-1200
Mailing Address - Fax:720-943-1201
Practice Address - Street 1:12050 PECOS ST
Practice Address - Street 2:SUITE 208
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2080
Practice Address - Country:US
Practice Address - Phone:720-943-1200
Practice Address - Fax:720-943-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6044111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty