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NPI Code Detail

MEDICARE: DR. THERON NEIL STALLINGS D.C.

MEDICARE: DR. THERON NEIL STALLINGS D.C.
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
1111N00000XChiropractor1971CO

General Provider Information

NPI Number : 1184739864
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THERON NEIL STALLINGS D.C.
Provider Business Mailing Address
First Line : 2200 S COLLEGE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1419
Country : US
Telephone Number : 970-484-0686
Fax Number : 970-484-0689
Provider Business Practice Location Address
First Line : 2200 S COLLEGE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1419
Country : US
Telephone Number : 970-484-0686
Fax Number : 970-484-0689
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 07/08/2007

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