Provider Demographics
NPI:1245514421
Name:PINTO CHIROPRACTIC CENTER LLC
Entity type:Organization
Organization Name:PINTO CHIROPRACTIC CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PINTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-485-6894
Mailing Address - Street 1:5191 S YOSEMITE ST STE A
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3360
Mailing Address - Country:US
Mailing Address - Phone:303-771-3102
Mailing Address - Fax:303-796-0197
Practice Address - Street 1:5191 S YOSEMITE ST STE A
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3360
Practice Address - Country:US
Practice Address - Phone:303-771-3102
Practice Address - Fax:303-796-0197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2017-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2763261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1376610709OtherNPI-INDIVIDUAL
CO10361841OtherCAQH
CO1376610709OtherNPI-INDIVIDUAL