Provider Demographics
NPI:1912242421
Name:CALLEN CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:CALLEN CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:CALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-399-1798
Mailing Address - Street 1:3865 E CHERRY CREEK NORTH DR
Mailing Address - Street 2:LL70
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3803
Mailing Address - Country:US
Mailing Address - Phone:303-399-1798
Mailing Address - Fax:303-388-1885
Practice Address - Street 1:3865 E CHERRY CREEK NORTH DR
Practice Address - Street 2:LL70
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-3803
Practice Address - Country:US
Practice Address - Phone:303-399-1798
Practice Address - Fax:303-388-1885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5961111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty