Organization Name: | ALPHA BACK CHIROPRACTIC LLC |
NPI Number: | 1003294109 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH A KINCAID (OWNER) |
Mailing Address: | 1940 E 18th Ave Denver |
State: | CO US |
Postal Code: | 802061108 |
Phone Number: | 7203982050 |
Fax Number: | 3035576266 |
NPI Enumeration Date: | 05/11/2015 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CHR0006893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |