Provider Demographics
NPI:1982176269
Name:PEREZ, JENIFER (DC)
Entity Type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 JOHNSON RD STE 260
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-6045
Mailing Address - Country:US
Mailing Address - Phone:303-278-2623
Mailing Address - Fax:
Practice Address - Street 1:1030 JOHNSON RD STE 260
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6045
Practice Address - Country:US
Practice Address - Phone:303-278-2623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-26
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor