Dr J Chiropractic Llc | |
18757 E Hampden Ave Ste 152 Aurora CO 80013-3586 | |
(303) 766-9626 | |
Not Available |
Full Name | Dr J Chiropractic Llc |
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Speciality | Clinic/Center |
Location | 18757 E Hampden Ave Ste 152, Aurora, Colorado |
Authorized Official Name and Position | Colby S Johnson (OWNER) |
Authorized Official Contact | 3038884932 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr J Chiropractic Llc 9128 E Star Hill Trl Lone Tree CO 80124-5410 Ph: () - | Dr J Chiropractic Llc 18757 E Hampden Ave Ste 152 Aurora CO 80013-3586 Ph: (303) 766-9626 |
NPI Number | 1043551112 |
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Provider Enumeration Date | 03/13/2013 |
Last Update Date | 03/13/2013 |
Medicare PECOS PAC ID | 6002041092 |
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Medicare Enrollment ID | O20131029000693 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043551112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | CHR.0006950 (Colorado) | Primary |
Provider Name | Colby Shea Johnson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699013466 PECOS PAC ID: 7810122801 Enrollment ID: I20131029000817 |
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