Provider Demographics
NPI:1023426996
Name:STONE CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:STONE CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-710-1682
Mailing Address - Street 1:3222 S VANCE ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5021
Mailing Address - Country:US
Mailing Address - Phone:402-710-1682
Mailing Address - Fax:
Practice Address - Street 1:3222 S VANCE ST
Practice Address - Street 2:SUITE 220
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5021
Practice Address - Country:US
Practice Address - Phone:402-710-1682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-23
Last Update Date:2016-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
599D957OtherMEDICARE ID
V06346Medicare UPIN