Provider Demographics
NPI:1538419288
Name:JOINT VENTURE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:JOINT VENTURE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:LINN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-493-8410
Mailing Address - Street 1:6860 S YOSEMITE CT
Mailing Address - Street 2:STE 2000
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1409
Mailing Address - Country:US
Mailing Address - Phone:720-493-8410
Mailing Address - Fax:
Practice Address - Street 1:6860 S YOSEMITE CT
Practice Address - Street 2:STE 2000
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1409
Practice Address - Country:US
Practice Address - Phone:720-493-8410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0003877111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty