Healthcare Provider Details

I. General information

NPI: 1134306186
Provider Name (Legal Business Name): BOYKIN CHIROPRACTIC CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2008
Last Update Date: 01/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W. KIOWA AVE.
ELIZABETH CO
80107
US

IV. Provider business mailing address

PO BOX 730
ELIZABETH CO
80107-0730
US

V. Phone/Fax

Practice location:
  • Phone: 303-646-0893
  • Fax: 303-646-0888
Mailing address:
  • Phone: 303-646-0893
  • Fax: 303-646-0888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4046
License Number StateCO

VIII. Authorized Official

Name: MRS. CATHERINE ANNE BOYKIN
Title or Position: OWNER
Credential:
Phone: 303-646-0893