MEDICARE: THE HEALING CENTER ALLERGY AND PAIN CLINIC INC.

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	4336	CO

General Provider Information

NPI Number	:	1770862062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HEALING CENTER ALLERGY AND PAIN CLINIC INC.

Provider Business Mailing Address
First Line	:	7100 E BELLEVIEW AVE
Second Line	:	STE 109
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-1632
Country	:	US
Telephone Number	:	303-721-9800
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 E BELLEVIEW AVE
Second Line	:	STE 109
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-1632
Country	:	US
Telephone Number	:	303-721-9800
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARIE STARLING
Credential	:	D.C.
Telephone Number	:	303-721-9800

Provider Enumeration Date	:	08/04/2011
Last Update Date	:	08/30/2012

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