Provider Demographics
NPI:1851649339
Name:ASPEN CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:ASPEN CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-323-4499
Mailing Address - Street 1:8955 RIDGELINE BLVD
Mailing Address - Street 2:700
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2362
Mailing Address - Country:US
Mailing Address - Phone:303-683-3002
Mailing Address - Fax:888-779-5104
Practice Address - Street 1:8955 RIDGELINE BLVD
Practice Address - Street 2:700
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2362
Practice Address - Country:US
Practice Address - Phone:303-683-3002
Practice Address - Fax:888-779-5104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6070111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty