Healthcare Provider Details

I. General information

NPI: 1194807834
Provider Name (Legal Business Name): ALISON MILBAUER I DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 04/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 GRANT ST SUITE 100
DENVER CO
80203-2907
US

IV. Provider business mailing address

980 GRANT ST SUITE 100
DENVER CO
80203-2907
US

V. Phone/Fax

Practice location:
  • Phone: 303-832-3668
  • Fax: 303-861-1403
Mailing address:
  • Phone: 303-832-3668
  • Fax: 303-861-1403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5520
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: