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NPI Code Detail

MEDICARE: MISS JILL ROBIN DEVEAU D.C., L.AC

MEDICARE:  MISS JILL ROBIN DEVEAU  D.C., L.AC
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
1111N00000XChiropractor6352CO
2171100000XAcupuncturist1505CO
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1750569521
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JILL ROBIN DEVEAU D.C., L.AC
Provider Business Mailing Address
First Line : 10 NORTH DUDLEY STREET
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226
Country : US
Telephone Number : 720-979-7864
Fax Number :
Provider Business Practice Location Address
First Line : 1120 LINCOLN ST
Second Line :
City : DENVER
State : CO
Zip : 80203-2112
Country : US
Telephone Number : 303-832-7070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2008
Last Update Date : 11/02/2009

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Directions to “ MISS JILL ROBIN DEVEAU D.C., L.AC” Practice Location

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