Healthcare Provider Details

I. General information

NPI: 1386312890
Provider Name (Legal Business Name): DHW BROOMFIELD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2021
Last Update Date: 08/31/2021
Certification Date: 08/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 SUMMIT BLVD UNIT 102
BROOMFIELD CO
80021-8299
US

IV. Provider business mailing address

433 SUMMIT BLVD UNIT 102
BROOMFIELD CO
80021-8299
US

V. Phone/Fax

Practice location:
  • Phone: 303-945-4047
  • Fax:
Mailing address:
  • Phone: 303-945-4047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ANNA E SCHWARTZ
Title or Position: OWNER/CHIROPRACTOR
Credential:
Phone: 303-945-4047