Provider Demographics
NPI:1770358749
Name:DELTA S PERFORMANCE, PLLC
Entity type:Organization
Organization Name:DELTA S PERFORMANCE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-443-3023
Mailing Address - Street 1:601 16TH ST # 441
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1978
Mailing Address - Country:US
Mailing Address - Phone:720-443-3023
Mailing Address - Fax:
Practice Address - Street 1:1805 S BELLAIRE ST STE 100
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4309
Practice Address - Country:US
Practice Address - Phone:720-443-3023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty