Provider Demographics
NPI:1902109390
Name:CRAIG E WARHURST, DC, PC
Entity Type:Organization
Organization Name:CRAIG E WARHURST, DC, PC
Other - Org Name:WARHURST FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC DIRECTOR/ CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:WARHURST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-464-9282
Mailing Address - Street 1:1010 DEPOT HILL RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-6722
Mailing Address - Country:US
Mailing Address - Phone:303-464-9282
Mailing Address - Fax:303-464-9752
Practice Address - Street 1:1010 DEPOT HILL RD
Practice Address - Street 2:SUITE 104
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-6722
Practice Address - Country:US
Practice Address - Phone:303-464-9282
Practice Address - Fax:303-464-9752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4915111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC48923OtherMEDICARE