| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/13/2013 |
| Last Update Date | 03/13/2013 |
| Medicare PECOS PAC ID | 6002041092 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699013466 PECOS PAC ID: 7810122801 Enrollment ID: I20131029000817 |
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