Provider Demographics
NPI:1740305556
Name:BORMAN, DANE A L (DC, DACBR)
Entity type:Individual
Prefix:DR
First Name:DANE
Middle Name:A L
Last Name:BORMAN
Suffix:
Gender:M
Credentials:DC, DACBR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1873 S BELLAIRE ST
Mailing Address - Street 2:SUITE 1220
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4358
Mailing Address - Country:US
Mailing Address - Phone:303-759-8514
Mailing Address - Fax:303-759-1813
Practice Address - Street 1:1873 S BELLAIRE ST
Practice Address - Street 2:SUITE 1220
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4358
Practice Address - Country:US
Practice Address - Phone:303-759-8514
Practice Address - Fax:303-759-1813
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR-6290111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology