Healthcare Provider Details

I. General information

NPI: 1205957875
Provider Name (Legal Business Name): DEAN ALLEN SCHANER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 COLUMBINE ST SUITE 321
DENVER CO
80206-4726
US

IV. Provider business mailing address

234 COLUMBINE ST SUITE 321
DENVER CO
80206-4726
US

V. Phone/Fax

Practice location:
  • Phone: 720-251-3188
  • Fax: 303-355-5695
Mailing address:
  • Phone: 720-251-3188
  • Fax: 303-355-5695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number5877
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: