| Conrad Chiropractic & Wellness Llc | |
|
5962 Stetson Hills Blvd Colorado Springs CO 80922-3579 | |
| (719) 596-8700 | |
| (719) 596-8704 |
| Full Name | Conrad Chiropractic & Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5962 Stetson Hills Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Shane Reed Conrad (OWNER) |
| Authorized Official Contact | 7195968700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conrad Chiropractic & Wellness Llc 5962 Stetson Hills Blvd Colorado Springs CO 80922-3579 Ph: (719) 596-8700 | Conrad Chiropractic & Wellness Llc 5962 Stetson Hills Blvd Colorado Springs CO 80922-3579 Ph: (719) 596-8700 |
| NPI Number | 1992841902 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1951405000 |
|---|---|
| Medicare Enrollment ID | O20070329000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992841902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Colorado) | Primary |
| Provider Name | Shane R Conrad |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184712036 PECOS PAC ID: 5294736781 Enrollment ID: I20070125000599 |
| Provider Name | Christin R Hinzman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558834317 PECOS PAC ID: 4385976166 Enrollment ID: I20191028002372 |
| Provider Name | Derek Hines |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265045165 PECOS PAC ID: 6507286168 Enrollment ID: I20201020002237 |
| Provider Name | Brittany Nicole Santeford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598440935 PECOS PAC ID: 3577924067 Enrollment ID: I20230731003708 |
| Provider Name | Jennifer Kohl |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518738244 PECOS PAC ID: 7719321199 Enrollment ID: I20240214001932 |
| Provider Name | Lucia Archuleta |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124898192 PECOS PAC ID: 5799125902 Enrollment ID: I20240503002220 |
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