Provider Demographics
NPI:1508087636
Name:SPARACO, MICHAELE MARIE (DC, DACNB)
Entity Type:Individual
Prefix:DR
First Name:MICHAELE
Middle Name:MARIE
Last Name:SPARACO
Suffix:
Gender:F
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3510 GALLEY RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-4312
Mailing Address - Country:US
Mailing Address - Phone:719-380-0138
Mailing Address - Fax:719-380-8055
Practice Address - Street 1:3510 GALLEY RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-4312
Practice Address - Country:US
Practice Address - Phone:719-380-0138
Practice Address - Fax:719-380-8055
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9906111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology