Provider Demographics
NPI:1134176902
Name:SENSENIG CHIROPRACTIC
Entity type:Organization
Organization Name:SENSENIG CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:W
Authorized Official - Last Name:SENSENIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-444-8731
Mailing Address - Street 1:316 HIGHWAY 6 AND 50
Mailing Address - Street 2:
Mailing Address - City:FRUITA
Mailing Address - State:CO
Mailing Address - Zip Code:81521-2642
Mailing Address - Country:US
Mailing Address - Phone:970-858-0544
Mailing Address - Fax:970-858-7749
Practice Address - Street 1:6250 E YALE AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-7051
Practice Address - Country:US
Practice Address - Phone:303-759-4594
Practice Address - Fax:303-759-0823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2301111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC23543Medicare ID - Type UnspecifiedINDIVIDUAL