Provider Demographics
NPI:1952668865
Name:APPLE CHIROPRACTIC CLINIC LLC
Entity Type:Organization
Organization Name:APPLE CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:F
Authorized Official - Last Name:GALA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-318-4953
Mailing Address - Street 1:10970 S PARKER RD
Mailing Address - Street 2:#A2A
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7406
Mailing Address - Country:US
Mailing Address - Phone:720-318-4953
Mailing Address - Fax:
Practice Address - Street 1:10970 S PARKER RD
Practice Address - Street 2:#A2A
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7406
Practice Address - Country:US
Practice Address - Phone:720-318-4953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty