Healthcare Provider Details

I. General information

NPI: 1235435041
Provider Name (Legal Business Name): CARLY MAY ZUEHLKE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2011
Last Update Date: 09/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 S BELLAIRE ST STE 406
DENVER CO
80222-4312
US

IV. Provider business mailing address

1720 S. BELLAIRE ST, SUITE 406
DENVER CO
80222
US

V. Phone/Fax

Practice location:
  • Phone: 303-758-1100
  • Fax: 303-997-1054
Mailing address:
  • Phone: 303-758-1100
  • Fax: 303-997-1054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR-6634
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: