Boulder Sport And Spine Pllc in Boulder - Sports Physician
Boulder Sport And Spine Pllc - NPI 1831206770
Boulder Sport And Spine Pllc is a Sports Physician in Boulder, Colorado. Boulder Sport And Spine Pllc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Boulder Sport And Spine Pllc is 1831206770. The last update date is 2008-07-17.
Boulder Sport And Spine Pllc's current location address is 3400 Table Mesa Dr Ste 201, Boulder, Colorado. You can contact this provider via phone number 3034940944 and fax number 3034948678. The mailing address for Boulder Sport And Spine Pllc is 3400 Table Mesa Dr Ste 201, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boulder Sport And Spine Pllc |
|---|---|
| Address | 3400 Table Mesa Dr Ste 201, Boulder, Colorado |
| Phone Number | 3034940944 |
| Fax Number | 3034948678 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Frieder Eric Larry |
| Credentials | DC, CCSP |
| Telephone Number | 3034940944 |
NPI Number Detail
| NPI Number | 1831206770 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 3400 Table Mesa Dr Ste 201 |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803055850 |
| Phone Number | 3034940944 |
| Fax Number | 3034948678 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 3053 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Boulder Sport And Spine Pllc by the Centers for Medicare & Medicaid Services?
The Boulder Sport And Spine Pllc has been assigned the NPI (National Provider Identifier) 1831206770 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Boulder Sport And Spine Pllc is physically located?
The Boulder Sport And Spine Pllc is situated at the following address: 3400 Table Mesa Dr Ste 201, Boulder, CO 803055850.
What is Boulder Sport And Spine Pllc's area of expertise and its corresponding taxonomy classification?
The Boulder Sport And Spine Pllc's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.
On what date did Boulder Sport And Spine Pllc receive its 1831206770 assignment from the Centers for Medicare & Medicaid Services?
The Boulder Sport And Spine Pllc was assigned its 1831206770 on 2006-08-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Boulder Sport And Spine Pllc last refreshed?
The information related to the Boulder Sport And Spine Pllc, including its address, specialty, and other relevant details, was last updated on 2008-07-17.
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