Provider Demographics
NPI:1053592881
Name:CLOUD 9 CHIROPRACTIC, INC
Entity type:Organization
Organization Name:CLOUD 9 CHIROPRACTIC, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRANKEL JEANSONNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-731-3344
Mailing Address - Street 1:190 TALISMAN DR
Mailing Address - Street 2:UNIT C-3
Mailing Address - City:PAGOSA SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81147-9171
Mailing Address - Country:US
Mailing Address - Phone:970-731-3344
Mailing Address - Fax:970-731-3398
Practice Address - Street 1:190 TALISMAN DR
Practice Address - Street 2:UNIT C-3
Practice Address - City:PAGOSA SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81147-9171
Practice Address - Country:US
Practice Address - Phone:970-731-3344
Practice Address - Fax:970-731-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5924111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty