Healthcare Provider Details

I. General information

NPI: 1720536956
Provider Name (Legal Business Name): OSCAR PABLO NESS B.S., D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2016
Last Update Date: 09/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

791 SOUTHPARK DR STE 400
LITTLETON CO
80120-6401
US

IV. Provider business mailing address

791 SOUTHPARK DR STE 400
LITTLETON CO
80120-6401
US

V. Phone/Fax

Practice location:
  • Phone: 303-301-5650
  • Fax:
Mailing address:
  • Phone: 303-301-5650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0007488
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberEL.2786559
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: