Provider Demographics
NPI:1821240433
Name:AGAPE' CHIROPRACTIC HEALTH CENTER
Entity Type:Organization
Organization Name:AGAPE' CHIROPRACTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HUG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-987-3020
Mailing Address - Street 1:3222 S VANCE ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5021
Mailing Address - Country:US
Mailing Address - Phone:303-987-3020
Mailing Address - Fax:303-987-3019
Practice Address - Street 1:3222 S VANCE ST
Practice Address - Street 2:SUITE 220
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5021
Practice Address - Country:US
Practice Address - Phone:303-987-3020
Practice Address - Fax:303-987-3019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1235111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC13843Medicare PIN