Pencechiropractic
Organization Active NPI Chiropractor · Durango, CO
NPI 1194843573 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1194843573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5905 (CA)
- Legal business name
- PENCECHIROPRACTIC
- Practice address
- 523 S Camino del Rio Ste a
Durango, CO 81303-6853 - Phone
- (970) 259-1450
- Fax
- (970) 259-1471
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ti Robert-Vernon Pence, D.C.
- Title
- Doctor-Owner
- Phone
- (970) 259-1450
Practitioners 6
-
Daniel J McClure, DO
-
Sean T Devlin, DO
-
Amanda Marie Ferguson, D.C.
-
Lisa Ringenberg, CNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5905 | CA | Yes |
Addresses
Primary practice location
523 S Camino del Rio Ste a
Durango, CO 81303-6853
Mailing address
523 S Camino del Rio Ste a
Durango, CO 81303-6853
Phone (970) 259-1450
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.