Provider Demographics
NPI:1205122090
Name:DOCSPITZ PERFORMANCE CLINIC
Entity type:Organization
Organization Name:DOCSPITZ PERFORMANCE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:T
Authorized Official - Last Name:SPITZLBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-932-2225
Mailing Address - Street 1:13982 W BOWLES AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-1444
Mailing Address - Country:US
Mailing Address - Phone:303-932-2225
Mailing Address - Fax:720-922-7761
Practice Address - Street 1:13982 W BOWLES AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-1444
Practice Address - Country:US
Practice Address - Phone:303-932-2225
Practice Address - Fax:720-922-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOAAA0056Medicare PIN