Provider Demographics
NPI:1780711952
Name:FIRST STEP CHIROPRACTIC LLC
Entity type:Organization
Organization Name:FIRST STEP CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-691-9922
Mailing Address - Street 1:6000 E EVANS AVE
Mailing Address - Street 2:3 011
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222
Mailing Address - Country:US
Mailing Address - Phone:303-691-9922
Mailing Address - Fax:303-691-9944
Practice Address - Street 1:6000 E EVANS AVE
Practice Address - Street 2:3 011
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222
Practice Address - Country:US
Practice Address - Phone:303-691-9922
Practice Address - Fax:303-691-9944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1646111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C46863Medicare ID - Type Unspecified
T67859Medicare UPIN