Provider Demographics
NPI:1831262740
Name:BETTER LIFE CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:BETTER LIFE CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:KERIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-660-4747
Mailing Address - Street 1:104 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2409
Mailing Address - Country:US
Mailing Address - Phone:303-660-4747
Mailing Address - Fax:303-660-9127
Practice Address - Street 1:104 4TH ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2409
Practice Address - Country:US
Practice Address - Phone:303-660-4747
Practice Address - Fax:303-660-9127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3552111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO46432Medicare UPIN
CO49063Medicare ID - Type Unspecified