Provider Demographics
NPI:1316261241
Name:HATCH CHIROPRACTIC
Entity type:Organization
Organization Name:HATCH CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-240-7139
Mailing Address - Street 1:11501 NIGHT HERON DR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4310
Mailing Address - Country:US
Mailing Address - Phone:720-240-7139
Mailing Address - Fax:303-841-7131
Practice Address - Street 1:10841 S. CROSSROADS DR.
Practice Address - Street 2:SUITE 9
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9090
Practice Address - Country:US
Practice Address - Phone:303-841-7121
Practice Address - Fax:303-841-7131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty