Healthcare Provider Details

I. General information

NPI: 1629090113
Provider Name (Legal Business Name): AIM HIGH CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 S FEDERAL BLVD SUITE B
DENVER CO
80219
US

IV. Provider business mailing address

50 SOUTH FEDERAL BLVD
DENVER CO
80219
US

V. Phone/Fax

Practice location:
  • Phone: 303-922-8164
  • Fax: 303-922-0158
Mailing address:
  • Phone: 303-922-2977
  • Fax: 303-922-2044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4263
License Number StateCO

VIII. Authorized Official

Name: MS. JONI K PETERSON
Title or Position: COLLECTION MANAGER
Credential:
Phone: 303-922-2888