Provider Demographics
NPI:1144521865
Name:DR. DAVID BYERS, CHIROPRACTOR, LLC
Entity type:Organization
Organization Name:DR. DAVID BYERS, CHIROPRACTOR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-447-0711
Mailing Address - Street 1:111 W FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6154
Mailing Address - Country:US
Mailing Address - Phone:719-447-0711
Mailing Address - Fax:719-447-9755
Practice Address - Street 1:111 W FILLMORE ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6154
Practice Address - Country:US
Practice Address - Phone:719-447-0711
Practice Address - Fax:719-447-9755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-11
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty