Provider Demographics
NPI:1871670521
Name:LOPARCO, VINCENT PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:PAUL
Last Name:LOPARCO
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 1:1880 DUBLIN BLVD
Mailing Address - Street 2:STE. E
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1293
Mailing Address - Country:US
Mailing Address - Phone:719-535-9900
Mailing Address - Fax:719-535-9901
Practice Address - Street 1:1880 DUBLIN BLVD
Practice Address - Street 2:STE. E
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1293
Practice Address - Country:US
Practice Address - Phone:719-535-9900
Practice Address - Fax:719-535-9901
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4715111NN0400X, 111NR0200X, 111NR0400X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NN0400XChiropractic ProvidersChiropractorNeurology
No111NR0200XChiropractic ProvidersChiropractorRadiology
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO443388Medicare ID - Type UnspecifiedPART B