Healthcare Provider Details

I. General information

NPI: 1285612580
Provider Name (Legal Business Name): JOHN W HANKS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 01/19/2024
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 DTC PARKWAY STE 185
GREENWOOD VILLAGE CO
80111-3226
US

IV. Provider business mailing address

5750 DTC PARKWAY STE 185
GREENWOOD VILLAGE CO
80111-3226
US

V. Phone/Fax

Practice location:
  • Phone: 303-905-9507
  • Fax:
Mailing address:
  • Phone: 303-905-9507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1087
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0001087
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: