MEDICARE: DR. DANIEL LEE HELBURG 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	1781	CO

General Provider Information

NPI Number	:	1336289255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL LEE HELBURG D.C.

Provider Business Mailing Address
First Line	:	1466 S FOOTHILLS HWY
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80305-7322
Country	:	US
Telephone Number	:	303-499-3469
Fax Number	:	303-449-3690

Provider Business Practice Location Address
First Line	:	1120 ALPINE AVE STE F
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-3414
Country	:	US
Telephone Number	:	303-449-9280
Fax Number	:	303-449-3690

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

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