MEDICARE: AGAPE' CHIROPRACTIC HEALTH CENTER

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	1235	CO

General Provider Information

NPI Number	:	1821240433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE' CHIROPRACTIC HEALTH CENTER

Provider Business Mailing Address
First Line	:	3222 S VANCE ST
Second Line	:	SUITE 220
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-5021
Country	:	US
Telephone Number	:	303-987-3020
Fax Number	:	303-987-3019

Provider Business Practice Location Address
First Line	:	3222 S VANCE ST
Second Line	:	SUITE 220
City	:	LAKEWOOD
State	:	CO
Zip	:	80227-5021
Country	:	US
Telephone Number	:	303-987-3020
Fax Number	:	303-987-3019

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. JOSEPH EDWARD HUG
Credential	:	D.C.
Telephone Number	:	303-987-3020

Provider Enumeration Date	:	10/14/2008
Last Update Date	:	12/01/2009

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