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Contact Information

BROADWAY SOUTH CHIROPRACTIC CLINIC PC
3601 S BROADWAY
ENGLEWOOD, CO80113-3610
 Phone: 303-761-8521
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internist

111NI0900X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BROADWAY SOUTH CHIROPRACTIC CLINIC PC

NPI # 1407197742
LBN Legal business name BROADWAY SOUTH CHIROPRACTIC CLINIC PC
Authorized official BRAIN WILSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2013
Last updated 03/12/2013 - About 13 years ago
Identifiers
CO License # 968
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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