Swan Lake Chiropractic

LBN: Swan Lake Chiropractic Health
Swan Lake Chiropractic is an health care organization with primary practice located at 724 Pearl St , Boulder CO 80302-5006. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Swan Lake Chiropractic Health can be contacted via phone (303) 449-3103, or through Shriver, Virginia Lawrence via phone (303) 449-3103.

Contact Information

Primary practice address
724 Pearl St Boulder CO 80302-5006
Fax: (303) 402-1095
Website:
Authorized official contact:
Name: Shriver, Virginia Lawrence Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1740351055
LBN Legal business name Swan Lake Chiropractic Health
DBA Doing business as Swan Lake Chiropractic
Authorized official Shriver, Virginia Lawrence Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2006
Last updated Aug 29th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740351055 NPPES
Colorado Other 647681 BCBS CLNIC PROVIDER NO

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