Provider Demographics
NPI:1316281025
Name:ZAJAC, JAMIE C (DC)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:C
Last Name:ZAJAC
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 S MADISON ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-3031
Mailing Address - Country:US
Mailing Address - Phone:970-412-8561
Mailing Address - Fax:
Practice Address - Street 1:8123 W 51ST PL
Practice Address - Street 2:UNIT 304
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-4350
Practice Address - Country:US
Practice Address - Phone:970-412-8561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor