Provider Demographics
NPI:1386782753
Name:FRIEDMAN, DAVID E (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:FRIEDMAN
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 1:6881 S HOLLY CIR STE 207
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1145
Mailing Address - Country:US
Mailing Address - Phone:303-221-3600
Mailing Address - Fax:720-529-0222
Practice Address - Street 1:6881 S HOLLY CIR STE 207
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1145
Practice Address - Country:US
Practice Address - Phone:303-221-3600
Practice Address - Fax:720-529-0222
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO870171100000X
CO2276111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COFRFR2465OtherBLUE CROSS
COC800815Medicare ID - Type Unspecified
COU19143Medicare UPIN