Advanced Chiropractic, P.C.
Organization Active NPI Chiropractor · Salida, CO
NPI 1740402437 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1740402437
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5742 (CO)
- Legal business name
- ADVANCED CHIROPRACTIC, P.C.
- Practice address
- 507 E Rainbow Blvd
Salida, CO 81201-2901 - Phone
- (719) 539-0528
- Fax
- (719) 539-9266
- NPI assigned
- May 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Randall J Provick, B.SC., D.C.
- Title
- Chiropractor
- Phone
- (719) 539-0528
Practitioners 1
-
James A Yager, D.C.
National Provider Directory
Locations
161 Fontaine Blvd
Colorado Springs, CO 80911
Phone (719) 392-2006
507 E Rainbow Blvd
Salida, CO 81201
Phone (719) 539-0528
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5742 | CO | Yes |
Addresses
Primary practice location
507 E Rainbow Blvd
Salida, CO 81201-2901
Mailing address
507 E Rainbow Blvd
Salida, CO 81201-2901
Phone (719) 539-0528
Other providers in Salida, 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.