MEDICARE: GENERATIONS CHIROPRACTIC LLC

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	6334	CO

General Provider Information

NPI Number	:	1376785345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERATIONS CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	13900 E HARVARD AVE
Second Line	:	SUITE 112
City	:	AURORA
State	:	CO
Zip	:	80014-7353
Country	:	US
Telephone Number	:	303-681-6834
Fax Number	:

Provider Business Practice Location Address
First Line	:	13900 E HARVARD AVE
Second Line	:	SUITE 112
City	:	AURORA
State	:	CO
Zip	:	80014-7353
Country	:	US
Telephone Number	:	303-681-6834
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NIKI WEBER
Credential	:	D.C.
Telephone Number	:	303-681-6834

Provider Enumeration Date	:	04/06/2009
Last Update Date	:	04/06/2009

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