MEDICARE: WESLEY RICKMAN DC

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
1	111N00000X	Chiropractor	CHR.0007693	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194201855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WESLEY RICKMAN DC

Provider Business Mailing Address
First Line	:	3801 OSAGE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-2656
Country	:	US
Telephone Number	:	303-955-5994
Fax Number	:

Provider Business Practice Location Address
First Line	:	3801 OSAGE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-2656
Country	:	US
Telephone Number	:	303-955-5994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2018
Last Update Date	:	07/16/2018

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Directions to “ WESLEY RICKMAN DC” Practice Location

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