Provider Demographics
NPI:1912612540
Name:LAUGHLIN, JOLENE MARIE (DC)
Entity type:Individual
Prefix:
First Name:JOLENE
Middle Name:MARIE
Last Name:LAUGHLIN
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 43RD AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8375
Mailing Address - Country:US
Mailing Address - Phone:337-781-8026
Mailing Address - Fax:
Practice Address - Street 1:809 30TH AVE UNIT 2
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-5118
Practice Address - Country:US
Practice Address - Phone:970-673-8486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor