MEDICARE: CAIN CHIROPRACTIC, PC

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	111NR0400X	Rehabilitation Chiropractor	4518	CO
2	111NN1001X	Nutrition Chiropractor	4518	CO
3	225100000X	Physical Therapist	4518	CO
4	225700000X	Massage Therapist	4518	CO
5	225000000X	Orthotic Fitter	4518	CO
6	111NN0400X	Neurology Chiropractor	4518	CO
7	111N00000X	Chiropractor	4518	CO

General Provider Information

NPI Number	:	1750465332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAIN CHIROPRACTIC, PC

Provider Business Mailing Address
First Line	:	1720 S BELLAIRE ST STE 1210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4336
Country	:	US
Telephone Number	:	303-399-2447
Fax Number	:	303-691-5772

Provider Business Practice Location Address
First Line	:	1720 S BELLAIRE ST STE 1210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4336
Country	:	US
Telephone Number	:	303-399-2447
Fax Number	:	303-691-5772

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAREN CAIN
Credential	:	DC
Telephone Number	:	303-399-2447

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	04/02/2009

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