Healthcare Provider Details

I. General information

NPI: 1851690762
Provider Name (Legal Business Name): CHIROPRACTOR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2011
Last Update Date: 12/30/2020
Certification Date: 12/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 S BELLAIRE ST STE 906
DENVER CO
80222-4333
US

IV. Provider business mailing address

1720 S BELLAIRE ST STE 906
DENVER CO
80222-4333
US

V. Phone/Fax

Practice location:
  • Phone: 720-383-7536
  • Fax:
Mailing address:
  • Phone: 720-383-7536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR-6572
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER RENEE DENBLEYKER
Title or Position: DOCTOR/OWNER
Credential: BSC, D.C.
Phone: 720-383-7536