Provider Demographics
NPI:1851313423
Name:COUSER, CHRISTOPHER GLENN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:GLENN
Last Name:COUSER
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 1:11208 WEST DORADO PL
Mailing Address - Street 2:#307
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127
Mailing Address - Country:US
Mailing Address - Phone:720-771-5147
Mailing Address - Fax:
Practice Address - Street 1:7200 WEST 44TH AVE
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033
Practice Address - Country:US
Practice Address - Phone:303-423-1925
Practice Address - Fax:303-420-1123
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5329111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U92660Medicare UPIN
C353408Medicare ID - Type Unspecified