Healthcare Provider Details

I. General information

NPI: 1689975773
Provider Name (Legal Business Name): HARRISON CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2010
Last Update Date: 11/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 S NIAGARA ST STE 360
DENVER CO
80224-1681
US

IV. Provider business mailing address

925 S NIAGARA ST STE 360
DENVER CO
80224-1681
US

V. Phone/Fax

Practice location:
  • Phone: 303-349-5492
  • Fax: 866-274-1128
Mailing address:
  • Phone: 303-349-5492
  • Fax: 866-274-1128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number5142
License Number StateCO

VIII. Authorized Official

Name: DR. JOSHUA HARRISON
Title or Position: CEO
Credential: D.C.
Phone: 303-349-5492