Provider Demographics
NPI:1831276831
Name:AURORA CHIROPRACTIC HEALTH CARE, P.C.
Entity type:Organization
Organization Name:AURORA CHIROPRACTIC HEALTH CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:CRISMON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-745-3222
Mailing Address - Street 1:2220 S FRASER ST. # 3
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4508
Mailing Address - Country:US
Mailing Address - Phone:303-750-9868
Mailing Address - Fax:303-750-0579
Practice Address - Street 1:2220 S FRASER ST UNIT 3
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4508
Practice Address - Country:US
Practice Address - Phone:303-750-9868
Practice Address - Fax:303-750-0579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC499118Medicare ID - Type Unspecified