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NPI Code Detail

MEDICARE: JS CHIROPRACTIC INC.

MEDICARE: JS CHIROPRACTIC 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
1111N00000XChiropractor4842CO

General Provider Information

NPI Number : 1154529527
Entity Type Code : Organization
Provider Name (Legal Business Name) : JS CHIROPRACTIC INC.
Provider Business Mailing Address
First Line : 1491 DENVER AVE UNIT 101
Second Line :
City : LOVELAND
State : CO
Zip : 80538-5228
Country : US
Telephone Number : 970-663-2225
Fax Number : 970-593-6748
Provider Business Practice Location Address
First Line : 1491 DENVER AVE UNIT 101
Second Line :
City : LOVELAND
State : CO
Zip : 80538-5228
Country : US
Telephone Number : 970-663-2225
Fax Number : 970-593-6748
Authorized Official
Title or Position : BILLING MANAGER
Name : MS. EMILY COOPER
Credential :
Telephone Number : 970-663-2225
Provider Enumeration Date : 07/06/2007
Last Update Date : 07/10/2007

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Directions to “JS CHIROPRACTIC INC. ” Practice Location

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