Healthcare Provider Details

I. General information

NPI: 1821231226
Provider Name (Legal Business Name): JEFFRY T PARKER DC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 04/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 E HAMPDEN AVE SUITE 100
DENVER CO
80224-3029
US

IV. Provider business mailing address

6825 E HAMPDEN AVE SUITE 100
DENVER CO
80224-3029
US

V. Phone/Fax

Practice location:
  • Phone: 303-758-0224
  • Fax: 303-758-2633
Mailing address:
  • Phone: 303-758-0224
  • Fax: 303-758-2633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2329
License Number StateCO

VIII. Authorized Official

Name: DR. JEFFRY T PARKER
Title or Position: PRESIDENT
Credential: DC
Phone: 303-758-0224