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MISSION TRACE CHIROPRACTIC CENTER NPI 1982908679


NPI Information

NPI: 1982908679
Provider Name: MISSION TRACE CHIROPRACTIC CENTER
Classification: Chiropractor - 111NI0013X
Entity Type: Organization

Specialization: Independent Medical Examiner

Address:
3953 E 120TH AVE STE B
THORNTON, CO
ZIP 80233
Phone: (303) 452-2960
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MISSION TRACE CHIROPRACTIC CENTER is an independent medical examiner chiropractor in Thornton, CO. The provider is a chiropractor and special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. MISSION TRACE CHIROPRACTIC CENTER NPI is 1982908679. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3953 E 120TH AVE STE B
THORNTON, CO
ZIP 80233-090
Phone: (303) 452-2960
Fax: (303) 452-1344

The provider's authorized official is Charles E Januschka .
The authorized official title is Owner/operattor and has the following contact phone number (720) 470-3805.

The enumeration date for this NPI number is 1/10/2011 and was last updated on 1/10/2011.


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
1111NI0013XChiropractorIndependent Medical Examiner2242COLORADOYes

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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