Healthcare Provider Details

I. General information

NPI: 1083067540
Provider Name (Legal Business Name): HEALTH INSTITUTE OF WESTERN COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2016
Last Update Date: 04/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 ROOD AVE # 103
GRAND JUNCTION CO
81501
US

IV. Provider business mailing address

321 ROOD AVE # 103
GRAND JUNCTION CO
81501-2420
US

V. Phone/Fax

Practice location:
  • Phone: 970-241-2400
  • Fax: 970-241-3786
Mailing address:
  • Phone: 970-241-2400
  • Fax: 970-241-3786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6250
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY WILLIAM MCCLOSKEY
Title or Position: OWNER
Credential: D.C.
Phone: 970-241-2400