Provider Demographics
NPI:1871785840
Name:SANDUSKY, DENISE ELAINE (DC)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:ELAINE
Last Name:SANDUSKY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3520 W 92ND AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3303
Mailing Address - Country:US
Mailing Address - Phone:303-426-5600
Mailing Address - Fax:303-426-5605
Practice Address - Street 1:3520 W 92ND AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3303
Practice Address - Country:US
Practice Address - Phone:303-426-5600
Practice Address - Fax:303-426-5605
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor