Healthcare Provider Details

I. General information

NPI: 1396887998
Provider Name (Legal Business Name): CHRISTY SANDRA BALDING D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 S FEDERAL BLVD
DENVER CO
80219-2044
US

IV. Provider business mailing address

50 S FEDERAL BLVD
DENVER CO
80219-2044
US

V. Phone/Fax

Practice location:
  • Phone: 303-922-2977
  • Fax: 303-922-2044
Mailing address:
  • Phone: 303-922-2977
  • Fax: 303-922-2044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number5867
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: