Provider Demographics
NPI:1780060251
Name:MIQUELI, MICHAEL (DC, LMT)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:MIQUELI
Suffix:
Gender:M
Credentials:DC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 16TH ST
Mailing Address - Street 2:STE 221
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-2943
Mailing Address - Country:US
Mailing Address - Phone:303-573-0984
Mailing Address - Fax:
Practice Address - Street 1:910 16TH ST
Practice Address - Street 2:STE 221
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-2943
Practice Address - Country:US
Practice Address - Phone:303-573-0984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0007288111N00000X
COEL2786426111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation