Provider Demographics
NPI:1942363817
Name:HARDINGER, PHILIP N (DC)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:N
Last Name:HARDINGER
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 1:718 S SWADLEY ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-3344
Mailing Address - Country:US
Mailing Address - Phone:303-969-0207
Mailing Address - Fax:303-988-0608
Practice Address - Street 1:7625 W HAMPDEN AVE UNIT 3
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5180
Practice Address - Country:US
Practice Address - Phone:303-988-4499
Practice Address - Fax:303-988-0608
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1233111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1371-3Medicare ID - Type Unspecified