Provider Demographics
NPI:1992967939
Name:PURE LIFE CHIROPRACTIC AND WELLNESS, PC
Entity type:Organization
Organization Name:PURE LIFE CHIROPRACTIC AND WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:ZAWADA
Authorized Official - Last Name:BROWNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-990-4277
Mailing Address - Street 1:8410 WADSWORTH BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-0917
Mailing Address - Country:US
Mailing Address - Phone:303-990-4277
Mailing Address - Fax:
Practice Address - Street 1:8410 WADSWORTH BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-0917
Practice Address - Country:US
Practice Address - Phone:303-990-4277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty