Mackey Boyle, DC
Individual provider Active NPI Chiropractor · Gunnison, CO
NPI 1376155200 · NPPES record last updated Aug 21, 2020
Key facts
- NPI
- 1376155200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHR.0008169 (CO)
- Practice address
- 724 N Main St
Gunnison, CO 81230-2412 - Phone
- (970) 641-2818
- NPI assigned
- Aug 21, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0008169 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sims Chiropractic Clinic Ministering Health | Chiropractor | Past |
Accepting new patients |
| Abundant Life Chiropractic Inc. | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0008169 | CO | Yes |
Addresses
Primary practice location
724 N Main St
Gunnison, CO 81230-2412
Mailing address
403 E Tomichi Ave
Gunnison, CO 81230-2031
Other providers in Gunnison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 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.