MEDICARE: DR. ELEANOR LOUISE DEVINNY 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
1	111N00000X	Chiropractor	1999	CO

General Provider Information

NPI Number	:	1952591414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELEANOR LOUISE DEVINNY DC

Provider Business Mailing Address
First Line	:	5411 MANITOU RD
Second Line	:
City	:	LITTLETON
State	:	CO
Zip	:	80123-2936
Country	:	US
Telephone Number	:	303-758-9258
Fax Number	:

Provider Business Practice Location Address
First Line	:	1780 S BELLAIRE ST STE 220
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-4315
Country	:	US
Telephone Number	:	303-758-9258
Fax Number	:

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

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	07/30/2007

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