Healthcare Provider Details
I. General information
NPI: 1134176902
Provider Name (Legal Business Name): SENSENIG CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6250 E YALE AVE
DENVER CO
80222-7051
US
IV. Provider business mailing address
316 HIGHWAY 6 AND 50
FRUITA CO
81521-2642
US
V. Phone/Fax
- Phone: 303-759-4594
- Fax: 303-759-0823
- Phone: 970-858-0544
- Fax: 970-858-7749
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NN1001X |
| Taxonomy | Nutrition Chiropractor |
| License Number | 2301 |
| License Number State | CO |
VIII. Authorized Official
Name: DR.
BARRY
W
SENSENIG
Title or Position: OWNER
Credential:
Phone: 303-444-8731