| Thole Inc. | |
|
2627 Redwing Rd., Suite 235, Fort Collins, CO 80526 | |
| (970) 377-1810 | |
| (970) 377-1815 |
| Full Name | Thole Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2627 Redwing Rd., Fort Collins, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710109095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5829 (Colorado) | Primary |
| Provider Name | Justin W Thole |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548368194 PECOS PAC ID: 9537181771 Enrollment ID: I20051230000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Thole Inc. 2627 Redwing Rd., Suite 235, Fort Collins, CO 80526 Ph: (970) 377-1810 | Thole Inc. 2627 Redwing Rd., Suite 235, Fort Collins, CO 80526 Ph: (970) 377-1810 |
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