Provider Demographics
NPI:1679308209
Name:COLORADO SCOLIOSIS CLINIC
Entity type:Organization
Organization Name:COLORADO SCOLIOSIS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:GUBBELS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-955-1919
Mailing Address - Street 1:8601 TURNPIKE DR STE 206
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7044
Mailing Address - Country:US
Mailing Address - Phone:303-955-1919
Mailing Address - Fax:
Practice Address - Street 1:8601 TURNPIKE DR STE 206
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7044
Practice Address - Country:US
Practice Address - Phone:303-955-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty