Provider Demographics
NPI:1841412160
Name:COTTER, CHAD (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:
Last Name:COTTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9126 W BOWLES AVE
Mailing Address - Street 2:UNIT 2A
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-8610
Mailing Address - Country:US
Mailing Address - Phone:303-904-9994
Mailing Address - Fax:303-904-9860
Practice Address - Street 1:9126 W BOWLES AVE
Practice Address - Street 2:UNIT 2A
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-8610
Practice Address - Country:US
Practice Address - Phone:303-904-9994
Practice Address - Fax:303-904-9860
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5393111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC496648Medicare PIN