Healthcare Provider Details

I. General information

NPI: 1578663381
Provider Name (Legal Business Name): PALMER CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 01/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7671 MCLAUGHLIN RD
PEYTON CO
80831-4727
US

IV. Provider business mailing address

7671 MCLAUGHLIN RD
PEYTON CO
80831-4727
US

V. Phone/Fax

Practice location:
  • Phone: 719-494-1395
  • Fax:
Mailing address:
  • Phone: 719-494-1395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4068
License Number StateCO

VIII. Authorized Official

Name: DR. FRANCINE J PALMER
Title or Position: VICE-PRESIDENT
Credential: D.C.
Phone: 719-494-1395