NPI 1508170168

Ten Mile Chiropractic, P.C.

Organisation Preferred Provider Organization Breckenridge, CO

Practice location

Address: 424 South Ridge Street, Breckenridge, CO 80424-8802
Phone: (970) 453-8282
Fax: (970) 453-0676
Mailing address: PO Box 8802, Breckenridge, CO 80424-9001

Authorised official

Name: Jon Alvin Junkermeier
Title: Owner/President
Phone: (970) 453-8282

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 4979 (CO)

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Registry record

NPI: 1508170168
Entity type: Organization
NPI issued: 5 Aug 2010
Record last updated: 5 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.