Provider Demographics
NPI: | 1235514134 |
---|---|
Name: | DUNCALF FAMILY CHIROPRACTIC LTD. |
Entity type: | Organization |
Organization Name: | DUNCALF FAMILY CHIROPRACTIC LTD. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER & SOLE PRACTITIONER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | SARAH |
Authorized Official - Middle Name: | E |
Authorized Official - Last Name: | DUNCALF |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DC |
Authorized Official - Phone: | 309-798-6884 |
Mailing Address - Street 1: | 1735 E 17TH AVE |
Mailing Address - Street 2: | SUITE 1 |
Mailing Address - City: | DENVER |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80218-1683 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 720-443-2715 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1735 E 17TH AVE |
Practice Address - Street 2: | SUITE 1 |
Practice Address - City: | DENVER |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80218-1683 |
Practice Address - Country: | US |
Practice Address - Phone: | 720-443-2715 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-07-21 |
Last Update Date: | 2015-07-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CO | 0006944 | 261Q00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center |