MEDICARE: DR. DEE ANN ELLIOTT 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
1	111N00000X	Chiropractor	2474	CO

General Provider Information

NPI Number	:	1326047747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEE ANN ELLIOTT D.C.

Provider Business Mailing Address
First Line	:	3585 VAN TEYLINGEN DR
Second Line	:	#D
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917
Country	:	US
Telephone Number	:	719-597-2273
Fax Number	:	719-597-2427

Provider Business Practice Location Address
First Line	:	3585 VAN TEYLINGEN DR
Second Line	:	#D
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917
Country	:	US
Telephone Number	:	719-597-2273
Fax Number	:	719-597-2427

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	05/16/2011

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