Provider Demographics
NPI:1184766693
Name:GARRISON, JOHN CHAPMAN (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHAPMAN
Last Name:GARRISON
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 1:627 N WEBER ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1063
Mailing Address - Country:US
Mailing Address - Phone:719-471-7333
Mailing Address - Fax:719-471-2613
Practice Address - Street 1:627 N WEBER ST
Practice Address - Street 2:SUITE 2
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1063
Practice Address - Country:US
Practice Address - Phone:719-471-7333
Practice Address - Fax:719-471-2613
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2122111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor