Provider Demographics
NPI:1194961334
Name:PEAKHEALTH CHIROPRACTIC CORP
Entity type:Organization
Organization Name:PEAKHEALTH CHIROPRACTIC CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCCARTY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-889-9238
Mailing Address - Street 1:13690 E ILIFF AVE STE C
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1368
Mailing Address - Country:US
Mailing Address - Phone:303-889-9238
Mailing Address - Fax:
Practice Address - Street 1:13690 E ILIFF AVE STE C
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1368
Practice Address - Country:US
Practice Address - Phone:303-889-9238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR 5873111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO125586426OtherMEDICARE PERSONAL NPI