MEDICARE: DR. WILLIAM 'SID' H. HURYK JR. D.C.

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	3014	CO

General Provider Information

NPI Number	:	1942277041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM 'SID' H. HURYK JR. D.C.

Provider Business Mailing Address
First Line	:	1805 S BELLAIRE ST
Second Line	:	SUITE 520
City	:	DENVER
State	:	CO
Zip	:	80222-4305
Country	:	US
Telephone Number	:	303-756-1120
Fax Number	:	303-756-1310

Provider Business Practice Location Address
First Line	:	1805 S BELLAIRE ST
Second Line	:	SUITE 520
City	:	DENVER
State	:	CO
Zip	:	80222-4305
Country	:	US
Telephone Number	:	303-756-1120
Fax Number	:	303-756-1310

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

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	07/09/2007

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