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PUEBLO WEST CHIROPRACTIC CENTER INC. NPI 1770799744


NPI Information

NPI: 1770799744
Provider Name: PUEBLO WEST CHIROPRACTIC CENTER INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
171 S PURCELL BLVD
PUEBLO WEST, CO
ZIP 81007
Phone: (719) 547-1979
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PUEBLO WEST CHIROPRACTIC CENTER INC. is a chiropractor in Pueblo West, CO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PUEBLO WEST CHIROPRACTIC CENTER INC. NPI is 1770799744. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

171 S PURCELL BLVD
PUEBLO WEST, CO
ZIP 81007-081
Phone: (719) 547-1979
Fax: (719) 547-7336

The provider's authorized official is Angela Elaine Vik .
The authorized official title is Co-owner and has the following contact phone number (719) 547-1979.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 9/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCO4091COLORADONo
2111N00000XChiropractorCO4489COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CK4903MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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