Provider Demographics
NPI:1942277041
Name:HURYK, WILLIAM 'SID' H JR (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:'SID' H
Last Name:HURYK
Suffix:JR
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 1:1805 S BELLAIRE ST
Mailing Address - Street 2:SUITE 520
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4305
Mailing Address - Country:US
Mailing Address - Phone:303-756-1120
Mailing Address - Fax:303-756-1310
Practice Address - Street 1:1805 S BELLAIRE ST
Practice Address - Street 2:SUITE 520
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4305
Practice Address - Country:US
Practice Address - Phone:303-756-1120
Practice Address - Fax:303-756-1310
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3014111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO29803Medicare ID - Type UnspecifiedPROVIDER NUMBER
COT67741Medicare UPIN