Healthcare Provider Details

I. General information

NPI: 1538464078
Provider Name (Legal Business Name): PEAKVIEW CHIROPRACTIC & WELLNESS CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2011
Last Update Date: 01/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 S QUEBEC ST STE 100
CENTENNIAL CO
80111-4671
US

IV. Provider business mailing address

6500 S QUEBEC ST STE 100
CENTENNIAL CO
80111-4671
US

V. Phone/Fax

Practice location:
  • Phone: 303-741-2444
  • Fax:
Mailing address:
  • Phone: 303-741-2444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JEANNE DESROCHE
Title or Position: CEO
Credential: DC
Phone: 303-741-2444