Provider Demographics
NPI:1316291859
Name:THOMPSON, AMBER NICHOLE (DC)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:NICHOLE
Last Name:THOMPSON
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 1:245 CENTURY CIR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1696
Mailing Address - Country:US
Mailing Address - Phone:720-214-6726
Mailing Address - Fax:720-214-6726
Practice Address - Street 1:245 CENTURY CIR
Practice Address - Street 2:SUITE 204
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1696
Practice Address - Country:US
Practice Address - Phone:720-214-6726
Practice Address - Fax:720-214-6726
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR 0006914111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor