Provider Demographics
NPI:1336226505
Name:SPROWL, CHRISTINE G (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:G
Last Name:SPROWL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 SO 88TH STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9417
Mailing Address - Country:US
Mailing Address - Phone:303-665-9549
Mailing Address - Fax:303-665-9546
Practice Address - Street 1:1044 SO 88TH STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027
Practice Address - Country:US
Practice Address - Phone:303-665-9549
Practice Address - Fax:303-665-9546
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR3073111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC26373Medicare PIN