O'Hara, Jeffrey Gannon
O'Hara, Jeffrey Gannon is an sole proprietor health care provider with primary practice located at 1180 Main St Unit 7 , Windsor CO 80550-4753. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. O'Hara, Jeffrey Gannon can be contacted via phone (970) 744-1084.Contact Information
Primary practice address
1180 Main St Unit 7
Windsor CO 80550-4753
Phone: (970) 744-1084
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | CHR6717 | Colorado |
Profile Details
| NPI number | 1477832194 |
|---|---|
| LBN Legal business name | O'Hara, Jeffrey Gannon |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2011 |
| Last updated | Aug 11th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477832194 | NPPES |
| Colorado | Other | CHR6717 | CHR6717 |
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