Healthcare Provider Details

I. General information

NPI: 1558613729
Provider Name (Legal Business Name): ROBERT HILL MICHALS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2012
Last Update Date: 10/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3545 S TAMARAC DR
DENVER CO
80237-1418
US

IV. Provider business mailing address

18107 E BELLEVIEW LN
CENTENNIAL CO
80015-2301
US

V. Phone/Fax

Practice location:
  • Phone: 720-722-2511
  • Fax:
Mailing address:
  • Phone: 303-960-1843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number2415
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: