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FORM AND FUNCTION CHIROPRACTIC LLC NPI 1114358355


NPI Information

NPI: 1114358355
Provider Name: FORM AND FUNCTION CHIROPRACTIC LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
13751 E YALE AVE
AURORA, CO
ZIP 80014
Phone: (303) 597-9595
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FORM AND FUNCTION CHIROPRACTIC LLC is a clinic center in Aurora, CO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FORM AND FUNCTION CHIROPRACTIC LLC NPI is 1114358355. The provider is registered as an organization entity type.

The provider's business location address is:

13751 E YALE AVE
AURORA, CO
ZIP 80014-351
Phone: (303) 597-9595
Fax: (303) 597-9689

The provider's authorized official is Matthew Leroy Usel .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (970) 988-0328.

The enumeration date for this NPI number is 12/12/2013 and was last updated on 4/17/2014.


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
1261Q00000XClinic/Center0006782COLORADOYes

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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