Provider Demographics
NPI:1821201955
Name:DR RAMZI DALLOUL, DC INC
Entity Type:Organization
Organization Name:DR RAMZI DALLOUL, DC INC
Other - Org Name:IN GOOD FORM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMZI
Authorized Official - Middle Name:RAIF
Authorized Official - Last Name:DALLOUL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-412-0037
Mailing Address - Street 1:8778 WOLFF CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3698
Mailing Address - Country:US
Mailing Address - Phone:303-412-0037
Mailing Address - Fax:
Practice Address - Street 1:8778 WOLFF CT
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3698
Practice Address - Country:US
Practice Address - Phone:303-412-0037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5231111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC491308Medicare ID - Type Unspecified