Provider Demographics
NPI:1457405706
Name:FLIEDNER CHIROPRACTIC PC
Entity Type:Organization
Organization Name:FLIEDNER CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:FLIEDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-789-2713
Mailing Address - Street 1:609 W LITTLETON BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2352
Mailing Address - Country:US
Mailing Address - Phone:303-789-2713
Mailing Address - Fax:303-781-2633
Practice Address - Street 1:609 W LITTLETON BLVD STE 310
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2352
Practice Address - Country:US
Practice Address - Phone:303-789-2713
Practice Address - Fax:303-781-2633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2644261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC28873Medicare ID - Type Unspecified