Provider Demographics
NPI:1427478544
Name:NYMAN, CAMERON RICHARD (DC)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:RICHARD
Last Name:NYMAN
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 1:10160W 50TH AVE 4
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2339
Mailing Address - Country:US
Mailing Address - Phone:720-542-3260
Mailing Address - Fax:
Practice Address - Street 1:2144 MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-8403
Practice Address - Country:US
Practice Address - Phone:815-303-4336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007119111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor