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NPI Code Detail

MEDICARE: BEAM CHIROPRACTIC CLINIC INC

MEDICARE: BEAM CHIROPRACTIC CLINIC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCHR-5786CO

General Provider Information

NPI Number : 1124214929
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAM CHIROPRACTIC CLINIC INC
Provider Business Mailing Address
First Line : 2147 N ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1507
Country : US
Telephone Number : 719-638-8007
Fax Number :
Provider Business Practice Location Address
First Line : 2147 N ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-1507
Country : US
Telephone Number : 719-638-8007
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CYNTHIA M BEAM
Credential : D.C.
Telephone Number : 719-638-8007
Provider Enumeration Date : 09/15/2007
Last Update Date : 10/11/2007

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Directions to “BEAM CHIROPRACTIC CLINIC INC ” Practice Location

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