Doctor Name: | GRANT HENRY SPENCER |
NPI Number: | 1528176708 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 4117012 |
Business Practice Address: | 351 Moraine Ave Ste A Estes Park, CO - 805178044 |
Business Phone Number: | 2629511468 |
Business Fax Number: | 2623639556 |
Mailing Address: | Po Box 3758, ESTES PARK |
State: | CO |
Postal Code: | 805173758 |
Phone Number: | 2629511468 |
Fax Number: | 2623639556 |
NPI Enumeration Date: | 08/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4117012 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
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. |