Provider Demographics
NPI:1124299474
Name:STUDHOLME CHIROPRACTIC INC.
Entity type:Organization
Organization Name:STUDHOLME CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:Y
Authorized Official - Last Name:STUDHOLME
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-939-0004
Mailing Address - Street 1:1455 YARMOUTH AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-4371
Mailing Address - Country:US
Mailing Address - Phone:303-939-0004
Mailing Address - Fax:303-449-2147
Practice Address - Street 1:1455 YARMOUTH AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-4371
Practice Address - Country:US
Practice Address - Phone:303-939-0004
Practice Address - Fax:303-449-2147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization