Healthcare Provider Details

I. General information

NPI: 1205003084
Provider Name (Legal Business Name): BETTER HEALTH, DC, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2008
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 W 121ST AVE SUITE 100
WESTMINSTER CO
80234-4223
US

IV. Provider business mailing address

680 W 121ST AVE SUITE 100
WESTMINSTER CO
80234-4223
US

V. Phone/Fax

Practice location:
  • Phone: 303-450-9970
  • Fax: 303-254-9590
Mailing address:
  • Phone: 303-450-9970
  • Fax: 303-254-9590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number610
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3160
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number40901
License Number StateCO

VIII. Authorized Official

Name: DR. MICHAEL LEON MALMGREN
Title or Position: DIRECTOR
Credential: DC, PA
Phone: 303-450-9970