Healthcare Provider Details

I. General information

NPI: 1386782753
Provider Name (Legal Business Name): DAVID E FRIEDMAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 06/11/2020
Certification Date: 06/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6881 S HOLLY CIR STE 207
CENTENNIAL CO
80112-1145
US

IV. Provider business mailing address

6881 S HOLLY CIR STE 207
CENTENNIAL CO
80112-1145
US

V. Phone/Fax

Practice location:
  • Phone: 303-221-3600
  • Fax: 720-529-0222
Mailing address:
  • Phone: 303-221-3600
  • Fax: 720-529-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number870
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2276
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: