Provider Demographics
NPI:1144460445
Name:DANIELS CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:DANIELS CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:D,C
Authorized Official - Phone:720-974-6060
Mailing Address - Street 1:2553 S. COLORADO BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222
Mailing Address - Country:US
Mailing Address - Phone:720-974-6060
Mailing Address - Fax:720-974-6061
Practice Address - Street 1:2553 S COLORADO BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5940
Practice Address - Country:US
Practice Address - Phone:720-974-6060
Practice Address - Fax:720-974-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty