| Graves Chiropractic | |
|
4257 Main Street Suite 210 Westminster CO 80031-0000 | |
| (303) 635-0211 | |
| (303) 469-1116 |
| Full Name | Graves Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4257 Main Street, Westminster, Colorado |
| Authorized Official Name and Position | Eric Anthony Graves (OWNER) |
| Authorized Official Contact | 3036350211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graves Chiropractic 4257 Main Street Suite 210 Westminster CO 80031 Ph: (303) 635-0211 | Graves Chiropractic 4257 Main Street Suite 210 Westminster CO 80031-0000 Ph: (303) 635-0211 |
| NPI Number | 1144419474 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 09/19/2008 |
| Medicare PECOS PAC ID | 7113816406 |
|---|---|
| Medicare Enrollment ID | O20040313000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144419474 | NPI | - | NPPES |
| C502578 | Other | CO | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4525 (Colorado) | Primary |
| Provider Name | Eric A Graves |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679668131 PECOS PAC ID: 0840189130 Enrollment ID: I20041129000729 |
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