Provider Demographics
NPI:1841769742
Name:FOLLOWILL, JONATHN CONLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:JONATHN
Middle Name:CONLEY
Last Name:FOLLOWILL
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 1:6906 N ACADEMY BLVD # 1F
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1127
Mailing Address - Country:US
Mailing Address - Phone:719-358-7422
Mailing Address - Fax:
Practice Address - Street 1:6906 N ACADEMY BLVD # 1F
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1127
Practice Address - Country:US
Practice Address - Phone:719-358-7422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007768111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor