MEDICARE: SALUTOGENIX 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	CHR.00007473	CO

General Provider Information

NPI Number	:	1841700705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALUTOGENIX INC.

Provider Business Mailing Address
First Line	:	611 N WEBER ST STE 102
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1072
Country	:	US
Telephone Number	:	719-301-9650
Fax Number	:	719-299-7575

Provider Business Practice Location Address
First Line	:	611 N WEBER ST STE 102
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1072
Country	:	US
Telephone Number	:	719-301-9650
Fax Number	:	719-299-7575

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	JOHN STENBERG
Credential	:	DC
Telephone Number	:	719-301-9650

Provider Enumeration Date	:	10/05/2017
Last Update Date	:	03/26/2021

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Directions to “SALUTOGENIX INC. ” Practice Location

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