Provider Demographics
NPI:1841375557
Name:SHOTTS, BRUCE L (DC, DIPL AC)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:L
Last Name:SHOTTS
Suffix:
Gender:M
Credentials:DC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1047 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-4844
Mailing Address - Country:US
Mailing Address - Phone:970-667-4062
Mailing Address - Fax:970-667-5089
Practice Address - Street 1:1047 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-4844
Practice Address - Country:US
Practice Address - Phone:970-667-4062
Practice Address - Fax:970-667-5089
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3152111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COT98181Medicare UPIN