Healthcare Provider Details

I. General information

NPI: 1912242421
Provider Name (Legal Business Name): CALLEN CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2012
Last Update Date: 12/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3865 E CHERRY CREEK NORTH DR LL70
DENVER CO
80209-3803
US

IV. Provider business mailing address

3865 E CHERRY CREEK NORTH DR LL70
DENVER CO
80209-3803
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-1798
  • Fax: 303-388-1885
Mailing address:
  • Phone: 303-399-1798
  • Fax: 303-388-1885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number5961
License Number StateCO

VIII. Authorized Official

Name: DR. ELIZABETH M CALLEN
Title or Position: CHIROPRACTOR
Credential: D.C
Phone: 303-399-1798