Provider Demographics
NPI:1982273538
Name:CHIRO DEN OPCO CO I
Entity Type:Organization
Organization Name:CHIRO DEN OPCO CO I
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:
Authorized Official - Last Name:STOREY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-598-5000
Mailing Address - Street 1:1359 INTERQUEST PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-3888
Mailing Address - Country:US
Mailing Address - Phone:719-598-5000
Mailing Address - Fax:
Practice Address - Street 1:1359 INTERQUEST PKWY STE 120
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-3888
Practice Address - Country:US
Practice Address - Phone:719-598-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty