Healthcare Provider Details

I. General information

NPI: 1295175586
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL HOVENDON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2013
Last Update Date: 12/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 HARLAN ST STE 210
WESTMINSTER CO
80031-2924
US

IV. Provider business mailing address

9101 HARLAN ST STE 210
WESTMINSTER CO
80031-2924
US

V. Phone/Fax

Practice location:
  • Phone: 303-284-7724
  • Fax: 720-390-6921
Mailing address:
  • Phone: 303-284-7724
  • Fax: 720-390-6921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0006996
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: