Provider Demographics
NPI:1972780815
Name:DR HURYK CHIROPRACTIC & ACUPUNCTURE
Entity type:Organization
Organization Name:DR HURYK CHIROPRACTIC & ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:HURYK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-756-1120
Mailing Address - Street 1:1805 SOUTH BELLAIRE ST
Mailing Address - Street 2:SUITE 520
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222
Mailing Address - Country:US
Mailing Address - Phone:303-756-1120
Mailing Address - Fax:303-756-1310
Practice Address - Street 1:1805 S BELLAIRE ST
Practice Address - Street 2:SUITE 520
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4305
Practice Address - Country:US
Practice Address - Phone:303-756-1120
Practice Address - Fax:303-756-1310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3014111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COT67741Medicare UPIN
CO29803Medicare PIN