Provider Demographics
NPI:1285612580
Name:HANKS, JOHN W (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:HANKS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 DTC PARKWAY
Mailing Address - Street 2:STE 185
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3226
Mailing Address - Country:US
Mailing Address - Phone:303-905-9507
Mailing Address - Fax:
Practice Address - Street 1:5750 DTC PARKWAY
Practice Address - Street 2:STE 185
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3226
Practice Address - Country:US
Practice Address - Phone:303-905-9507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1087111N00000X
COCHR.0001087111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T60391Medicare UPIN
CO11303Medicare ID - Type Unspecified