Healthcare Provider Details

I. General information

NPI: 1154693323
Provider Name (Legal Business Name): CENTER FOR NATURAL MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2012
Last Update Date: 02/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 E HAMPDEN AVE SUITE 100
DENVER CO
80224-3029
US

IV. Provider business mailing address

6825 E HAMPDEN AVE SUITE 100
DENVER CO
80224-3029
US

V. Phone/Fax

Practice location:
  • Phone: 303-756-1082
  • Fax:
Mailing address:
  • Phone: 303-756-1082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number5267
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5267
License Number StateCO

VIII. Authorized Official

Name: DR. CORRIE L PILLON
Title or Position: OWNER
Credential: D.C.
Phone: 303-756-1082