Healthcare Provider Details

I. General information

NPI: 1346396090
Provider Name (Legal Business Name): THE NEUROCONNECTION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 N WEBER ST SUITE 300
COLORADO SPRINGS CO
80907-7532
US

IV. Provider business mailing address

1715 N WEBER ST SUITE 300
COLORADO SPRINGS CO
80907-7532
US

V. Phone/Fax

Practice location:
  • Phone: 719-575-0357
  • Fax: 719-575-0085
Mailing address:
  • Phone: 719-575-0357
  • Fax: 719-575-0085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number20448
License Number StateCO

VIII. Authorized Official

Name: MRS. RHONDA J SUNDE
Title or Position: CLINICAL DIRECTOR
Credential: M.A., L.P.C.
Phone: 719-575-0357