Provider Demographics
NPI:1669513362
Name:GAUFF, JULIE (DC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:GAUFF
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 1:3005 47TH ST
Mailing Address - Street 2:STE. F-2
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-5549
Mailing Address - Country:US
Mailing Address - Phone:720-628-2476
Mailing Address - Fax:303-440-0993
Practice Address - Street 1:3005 47TH ST
Practice Address - Street 2:STE. F-2
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-5549
Practice Address - Country:US
Practice Address - Phone:720-628-2476
Practice Address - Fax:303-440-0993
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5804111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO803865Medicare ID - Type Unspecified
COV07179Medicare UPIN