Provider Demographics
NPI:1124771217
Name:DENVER INJURY REHAB AND CHIROPRACTIC CARE
Entity type:Organization
Organization Name:DENVER INJURY REHAB AND CHIROPRACTIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-951-2256
Mailing Address - Street 1:1201 SERENE DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:CO
Mailing Address - Zip Code:80516-2448
Mailing Address - Country:US
Mailing Address - Phone:972-951-2256
Mailing Address - Fax:
Practice Address - Street 1:2480 W 26TH AVE STE 90B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5389
Practice Address - Country:US
Practice Address - Phone:720-251-8884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty