Provider Demographics
NPI:1669699260
Name:VALEN, CATHERINE A (DC)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:A
Last Name:VALEN
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:PO BOX 677
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:CO
Mailing Address - Zip Code:80466-0677
Mailing Address - Country:US
Mailing Address - Phone:303-258-7730
Mailing Address - Fax:303-258-3382
Practice Address - Street 1:20 LAKEVIEW DRIVE
Practice Address - Street 2:SUITE 204
Practice Address - City:NEDERLAND
Practice Address - State:CO
Practice Address - Zip Code:80466
Practice Address - Country:US
Practice Address - Phone:303-258-7730
Practice Address - Fax:303-258-3382
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2596111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO84-1104585OtherTAX ID NUMBER
COC23933Medicare PIN
CO84-1104585OtherTAX ID NUMBER