Healthcare Provider Details

I. General information

NPI: 1871670521
Provider Name (Legal Business Name): VINCENT PAUL LOPARCO D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 12/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 DUBLIN BLVD STE. E
COLORADO SPRINGS CO
80918-1293
US

IV. Provider business mailing address

1880 DUBLIN BLVD STE. E
COLORADO SPRINGS CO
80918-1293
US

V. Phone/Fax

Practice location:
  • Phone: 719-535-9900
  • Fax: 719-535-9901
Mailing address:
  • Phone: 719-535-9900
  • Fax: 719-535-9901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number4715
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number4715
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number4715
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number4715
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: