Avila, Robert Joseph

Avila, Robert Joseph is an sole proprietor health care provider with primary practice located at 3960 Ivywood Ln , Pueblo CO 81005-2567. He recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Chiropractic Providers / Neurology, Chiropractic Providers / Nutrition, Chiropractic Providers / Pediatric Chiropractor, Chiropractic Providers / Radiology, Chiropractic Providers / Sports Physician, Chiropractic Providers / Occupational Health, Chiropractic Providers / Orthopedic, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Avila, Robert Joseph can be contacted via phone (719) 565-1276.

Contact Information

Primary practice address
3960 Ivywood Ln Pueblo CO 81005-2567
Phone: (719) 565-1276
Fax: (719) 565-2313
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Chiropractic Providers / Neurology 111NN0400X 4867 Colorado
Chiropractic Providers / Nutrition 111NN1001X 4867 Colorado
Chiropractic Providers / Pediatric Chiropractor 111NP0017X 4867 Colorado
Chiropractic Providers / Radiology 111NR0200X 4867 Colorado
Chiropractic Providers / Sports Physician 111NS0005X 4867 Colorado
Chiropractic Providers / Occupational Health 111NX0100X 4867 Colorado
Chiropractic Providers / Orthopedic 111NX0800X 4867 Colorado
Chiropractic Providers / Rehabilitation 111NR0400X 4867 Colorado
Chiropractic Providers / Chiropractor 111N00000X 4867 Colorado

Profile Details

NPI number 1245248400
LBN Legal business name Avila, Robert Joseph
Credentials D.C., CCST, CCCN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Mar 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245248400 NPPES
Colorado Other 4867 COLORADO LICENSE UPIN
Colorado Other COA106967 COLORADO LICENSE UPIN
Colorado Other 841603517 COLORADO LICENSE UPIN
Colorado Other 1245248400 COLORADO LICENSE UPIN
Colorado Other 1821363557 COLORADO LICENSE UPIN
Colorado Other 1295797413 COLORADO LICENSE UPIN
Colorado Other COA106966 COLORADO LICENSE UPIN
Colorado Other COA107185 COLORADO LICENSE UPIN

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