Provider Demographics
NPI:1184060824
Name:CHIROPRACTIC & ACUPUNCTURE CENTRE
Entity type:Organization
Organization Name:CHIROPRACTIC & ACUPUNCTURE CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-939-5863
Mailing Address - Street 1:1200 S WADSWORTH BLVD
Mailing Address - Street 2:SUIITE 100B
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-5434
Mailing Address - Country:US
Mailing Address - Phone:720-939-5863
Mailing Address - Fax:720-638-2040
Practice Address - Street 1:1200 S WADSWORTH BLVD
Practice Address - Street 2:SUIITE 100B
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-5473
Practice Address - Country:US
Practice Address - Phone:720-939-5863
Practice Address - Fax:720-638-2040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO2868261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care