Provider Demographics
NPI:1154516276
Name:ADRIENNE L. SENATORE,D.C.,LLC
Entity type:Organization
Organization Name:ADRIENNE L. SENATORE,D.C.,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SENATORE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-243-8832
Mailing Address - Street 1:636 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-2738
Mailing Address - Country:US
Mailing Address - Phone:970-243-8832
Mailing Address - Fax:970-245-2093
Practice Address - Street 1:636 GRAND AVE
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-2738
Practice Address - Country:US
Practice Address - Phone:970-243-8832
Practice Address - Fax:970-245-2093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3224111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC809790Medicare PIN