Healthcare Provider Details

I. General information

NPI: 1740106541
Provider Name (Legal Business Name): JUSTIN SCHOEFERNACKER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 E ARAPAHOE RD STE 211
CENTENNIAL CO
80112-1262
US

IV. Provider business mailing address

7600 E ARAPAHOE RD STE 211
CENTENNIAL CO
80112-1262
US

V. Phone/Fax

Practice location:
  • Phone: 303-221-1714
  • Fax:
Mailing address:
  • Phone: 303-221-1714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0009098
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: