Healthcare Provider Details

I. General information

NPI: 1902791270
Provider Name (Legal Business Name): DONNA JEAN HINDERS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 N MAIN ST STE 222
PUEBLO CO
81003-6108
US

IV. Provider business mailing address

PO BOX 276
BEULAH CO
81023-0276
US

V. Phone/Fax

Practice location:
  • Phone: 719-671-5326
  • Fax:
Mailing address:
  • Phone: 719-671-5326
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number2278
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: