=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043464696
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOCTORS CHIROPRACTIC CENTER, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2008
-----------------------------------------------------
Last Update Date | 12/04/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3225 AUSTIN BLUFFS PKWY SUITE 100
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80918-5767
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-380-0222
-----------------------------------------------------
Fax | 719-380-0221
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3225 AUSTIN BLUFFS PKWY SUITE 100
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80918-5767
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-380-0222
-----------------------------------------------------
Fax | 719-380-0221
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ CEO
-----------------------------------------------------
Name | DR. REBECCA SUE FISCHER
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 719-380-0222
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 1771
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------