Provider Demographics
NPI:1669475042
Name:OGDEN, JIMMIE N (DC, CCEP)
Entity type:Individual
Prefix:DR
First Name:JIMMIE
Middle Name:N
Last Name:OGDEN
Suffix:
Gender:M
Credentials:DC, CCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10791 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80233-3438
Mailing Address - Country:US
Mailing Address - Phone:303-280-2225
Mailing Address - Fax:303-280-2220
Practice Address - Street 1:10791 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-3438
Practice Address - Country:US
Practice Address - Phone:303-280-2225
Practice Address - Fax:303-280-2220
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2915891202111N00000X
CO4087111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor