MEDICARE: DR. AKILAH SPENCER D.C., D.A.B.C.I.

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
1	111N00000X	Chiropractor	CHR0007226	CO
2	111NI0900X	Internist Chiropractor	CHR0007226	CO

General Provider Information

NPI Number	:	1386045953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AKILAH SPENCER D.C., D.A.B.C.I.

Provider Business Mailing Address
First Line	:	88 INVERNESS CIR E UNIT A208
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-5521
Country	:	US
Telephone Number	:	720-722-0386
Fax Number	:

Provider Business Practice Location Address
First Line	:	88 INVERNESS CIR E UNIT A208
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80112-5521
Country	:	US
Telephone Number	:	720-722-0386
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2014
Last Update Date	:	03/28/2018

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