Fraser Valley Chiropractic, Inc.
Organization Active NPI Chiropractor · Fraser, CO
NPI 1013210202 · NPPES record last updated May 9, 2014
Key facts
- NPI
- 1013210202
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- FRASER VALLEY CHIROPRACTIC, INC.
- Practice address
- 208 E. Eisenhower Drive
PB 1385
Fraser, CO 80442-1385 - Phone
- (970) 363-7156
- Fax
- (303) 292-1244
- NPI assigned
- Dec 10, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Jill M. Hutter, DC
- Title
- Owner
- Phone
- (970) 363-7156
Practitioners 2
-
Jill M Hutter, DC
-
Marc Alan Berkson, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111221000739 | CO | Part B Supplier - Clinic/Group Practice | 6406022417 |
Receives reassigned benefits from 1 practitioner Practice locations: Fraser, CO |
National Provider Directory
Locations
345 N Zerex St
Unit 3
Fraser, CO 80442
Phone (970) 363-7156
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
208 E. Eisenhower Drive
PB 1385
Fraser, CO 80442-1385
Mailing address
208 E. Eisenhower Drive
PB 1385
Fraser, CO 80442-1385
Phone (970) 363-7156
Other providers in Fraser, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.