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NPI Code Detail

MEDICARE: ELIZABETH NORTHWAY DC

MEDICARE: ELIZABETH NORTHWAY DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCHR.0008616CO

General Provider Information

NPI Number : 1023707049
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH NORTHWAY DC
Provider Business Mailing Address
First Line : 50 S FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80219-2044
Country : US
Telephone Number : 303-922-2977
Fax Number :
Provider Business Practice Location Address
First Line : 50 S FEDERAL BLVD
Second Line :
City : DENVER
State : CO
Zip : 80219-2044
Country : US
Telephone Number : 303-922-2977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2023
Last Update Date : 05/04/2023

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Directions to “ ELIZABETH NORTHWAY DC” Practice Location

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