Provider Demographics
NPI:1982898664
Name:STRUCK, ERIK (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:
Last Name:STRUCK
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 1:9910 MOHAWK TRL
Mailing Address - Street 2:
Mailing Address - City:CASCADE
Mailing Address - State:CO
Mailing Address - Zip Code:80809-1611
Mailing Address - Country:US
Mailing Address - Phone:719-684-7886
Mailing Address - Fax:719-684-7886
Practice Address - Street 1:9910 MOHAWK TRL
Practice Address - Street 2:
Practice Address - City:CASCADE
Practice Address - State:CO
Practice Address - Zip Code:80809-1611
Practice Address - Country:US
Practice Address - Phone:719-684-7886
Practice Address - Fax:719-684-7886
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2009-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007026703111N00000X
CO6212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor