Provider Demographics
NPI:1356906143
Name:S AND C LLC
Entity type:Organization
Organization Name:S AND C LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:PARENT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-301-5598
Mailing Address - Street 1:1712 W UINTAH ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-2958
Mailing Address - Country:US
Mailing Address - Phone:719-301-5598
Mailing Address - Fax:
Practice Address - Street 1:1712 W UINTAH ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-2958
Practice Address - Country:US
Practice Address - Phone:719-301-5598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty