Provider Demographics
NPI:1730406547
Name:PORRONE, PAOLA (DC)
Entity type:Individual
Prefix:DR
First Name:PAOLA
Middle Name:
Last Name:PORRONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19555 E PARKER SQUARE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7307
Mailing Address - Country:US
Mailing Address - Phone:303-841-9565
Mailing Address - Fax:303-841-0236
Practice Address - Street 1:19555 E PARKER SQUARE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7307
Practice Address - Country:US
Practice Address - Phone:303-841-9565
Practice Address - Fax:303-841-0236
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5586111N00000X, 111NN0400X, 111NN1001X, 111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN0400XChiropractic ProvidersChiropractorNeurology
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor