Provider Demographics
NPI:1841414695
Name:EGGLESTON, DEBRA G (DC)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:G
Last Name:EGGLESTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7115 E 53RD PL
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-4828
Mailing Address - Country:US
Mailing Address - Phone:720-327-2784
Mailing Address - Fax:303-289-6872
Practice Address - Street 1:7115 E 53RD PL
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-4828
Practice Address - Country:US
Practice Address - Phone:720-327-2784
Practice Address - Fax:303-289-6872
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4854111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor