Healthcare Provider Details

I. General information

NPI: 1245678358
Provider Name (Legal Business Name): BLAMPIED CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 04/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 LANSING DR
COLORADO SPRINGS CO
80909-5418
US

IV. Provider business mailing address

708 LANSING DR
COLORADO SPRINGS CO
80909-5418
US

V. Phone/Fax

Practice location:
  • Phone: 719-271-3427
  • Fax:
Mailing address:
  • Phone: 719-271-3427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number6819
License Number StateCO

VIII. Authorized Official

Name: DR. JOE P BLAMPIED
Title or Position: OWNER
Credential: D.C.
Phone: 719-271-3427