Provider Demographics
NPI:1912910878
Name:ALVAREZ, JOHN DAVID (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVID
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5650 GREENWOOD PLAZA BLVD
Mailing Address - Street 2:STE 250-K
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2307
Mailing Address - Country:US
Mailing Address - Phone:720-489-7250
Mailing Address - Fax:
Practice Address - Street 1:5650 GREENWOOD PLAZA BOULEVARD
Practice Address - Street 2:SUITE 250-K
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:720-489-7250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5912111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor