=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093004368
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASSURANCE CHIROPRACTIC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2011
-----------------------------------------------------
Last Update Date | 12/20/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1660 S ALBION ST #1007
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80222-4008
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-263-0594
-----------------------------------------------------
Fax | 720-210-9236
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1660 S ALBION ST #1007
-----------------------------------------------------
City | DENVER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80222-4008
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-263-0594
-----------------------------------------------------
Fax | 720-210-9236
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR OF CHIROPRACTIC
-----------------------------------------------------
Name | DR. STEVEN R RASH
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 720-263-0594
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number | 6599
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------