Provider Demographics
NPI:1366706947
Name:IGNITE AWARENESS LLP
Entity type:Organization
Organization Name:IGNITE AWARENESS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MALINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BRUNHUBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-809-1262
Mailing Address - Street 1:8703 YATES DR STE 210
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3681
Mailing Address - Country:US
Mailing Address - Phone:303-809-1262
Mailing Address - Fax:
Practice Address - Street 1:8703 YATES DR STE 210
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3681
Practice Address - Country:US
Practice Address - Phone:303-809-1262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty