Healthcare Provider Details

I. General information

NPI: 1982773495
Provider Name (Legal Business Name): JEFFRY T PARKER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 E HAMPDEN AVE STE 100
DENVER CO
80224-3000
US

IV. Provider business mailing address

6825 E HAMPDEN AVE STE 100
DENVER CO
80224-3000
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
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number2329
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number2329
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: