| Healthsource Of Dtc, P.c. | |
|
5105 Dtc Pkwy Suite 305 Greenwood Village CO 80111-2610 | |
| (303) 290-0022 | |
| (303) 290-9476 |
| Full Name | Healthsource Of Dtc, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5105 Dtc Pkwy, Greenwood Village, Colorado |
| Authorized Official Name and Position | Christopher Holowiski (PRISIDENT) |
| Authorized Official Contact | 3032900022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Dtc, P.c. 5105 Dtc Pkwy Suite 305 Greenwood Village CO 80111-2610 Ph: (303) 290-0022 | Healthsource Of Dtc, P.c. 5105 Dtc Pkwy Suite 305 Greenwood Village CO 80111-2610 Ph: (303) 290-0022 |
| NPI Number | 1447688627 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 06/11/2015 |
| Medicare PECOS PAC ID | 9638300874 |
|---|---|
| Medicare Enrollment ID | O20140401000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447688627 | NPI | - | NPPES |
| COAAA4439 | Other | CO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5504 (Colorado) | Primary |
| Provider Name | Christopher M Holowiski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982644654 PECOS PAC ID: 2567536170 Enrollment ID: I20120612000377 |
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