Healthcare Provider Details
I. General information
NPI: 1649417379
Provider Name (Legal Business Name): RIGHT HEALTH CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2009
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
304 S 8TH ST STE 103
COLORADO SPRINGS CO
80905-1829
US
IV. Provider business mailing address
304 S 8TH ST STE 103
COLORADO SPRINGS CO
80905-1829
US
V. Phone/Fax
- Phone: 719-475-9103
- Fax: 719-475-2225
- Phone: 719-475-9103
- Fax: 719-475-2225
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 5824 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
THOMAS
FOSTER
Title or Position: PRESIDENT/OWNER
Credential: DC
Phone: 719-475-9103