MEDICARE: TURNER CHIROPRACTIC, LLC

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	6499	CO

General Provider Information

NPI Number	:	1881909281
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURNER CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	7075 CAMPUS DR STE 102
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-6524
Country	:	US
Telephone Number	:	719-200-7666
Fax Number	:	719-265-1752

Provider Business Practice Location Address
First Line	:	7075 CAMPUS DR STE 102
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-6524
Country	:	US
Telephone Number	:	719-200-7666
Fax Number	:	719-265-1752

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFFREY DALTON TURNER
Credential	:	DC
Telephone Number	:	719-200-7666

Provider Enumeration Date	:	08/10/2010
Last Update Date	:	08/10/2010

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