Healthcare Provider Details

I. General information

NPI: 1174893036
Provider Name (Legal Business Name): JEFFREY A BJORKLUND DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2012
Last Update Date: 01/14/2021
Certification Date: 01/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 E 29TH ST
LOVELAND CO
80538-2724
US

IV. Provider business mailing address

162 E 29TH ST
LOVELAND CO
80538-2724
US

V. Phone/Fax

Practice location:
  • Phone: 970-481-2940
  • Fax:
Mailing address:
  • Phone: 970-481-2940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6778
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: