MEDICARE: PAUL D AUSTIN 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	2738	CO

General Provider Information

NPI Number	:	1740366079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL D AUSTIN DC

Provider Business Mailing Address
First Line	:	1120 W SOUTH BOULDER RD
Second Line	:	STE 201A
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-8952
Country	:	US
Telephone Number	:	303-665-5405
Fax Number	:	303-664-1697

Provider Business Practice Location Address
First Line	:	1120 W SOUTH BOULDER RD
Second Line	:	STE 201A
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-8952
Country	:	US
Telephone Number	:	303-665-5405
Fax Number	:	303-664-1697

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

Provider Enumeration Date	:	10/30/2006
Last Update Date	:	12/31/2019

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Directions to “ PAUL D AUSTIN DC” Practice Location

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