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Contact Information

100 PERCENT CHIROPRACTIC PUEBLO ONE
1021 N MARKET PLZ
102
PUEBLO WEST, CO81007-1531
 Phone: 719-251-7708
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for 100 PERCENT CHIROPRACTIC PUEBLO ONE

NPI # 1962863068
LBN Legal business name 100 PERCENT CHIROPRACTIC PUEBLO ONE
Authorized official MICHAEL PETERSON - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2016
Last updated 03/16/2016 - About 10 years ago
Identifiers
CO License # 0007367
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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