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COUNTRYSIDE HEALTH & WELLNESS LLC NPI 1811266125


NPI Information

NPI: 1811266125
Provider Name: COUNTRYSIDE HEALTH & WELLNESS LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1499 W 120TH AVE
SUITE 130
WESTMINSTER, CO
ZIP 80234
Phone: (303) 255-6980
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COUNTRYSIDE HEALTH & WELLNESS LLC is a chiropractor in Westminster, CO. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. COUNTRYSIDE HEALTH & WELLNESS LLC NPI is 1811266125. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1499 W 120TH AVE
SUITE 130
WESTMINSTER, CO
ZIP 80234-995
Phone: (303) 255-6980
Fax: (303) 255-6899

The provider's authorized official is Shane W Lear .
The authorized official title is Owner and has the following contact phone number (303) 255-6980.

The enumeration date for this NPI number is 12/16/2011 and was last updated on 12/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor6683COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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