# ADVANCED HEALTHCARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124396718
- **Authorized official:** DR. NATHAN M IRWIN D.C. (CLINIC DIRECTOR)
- **Authorized official phone:** (970) 222-7327

## Contact information

- **Practice address:** 2531 S SHIELDS ST STE 2H, FORT COLLINS, CO 80526-1857
- **Practice address phone:** (970) 472-8333
- **Practice address fax:** (970) 472-8332
- **Mailing address:** 2531 S SHIELDS ST STE 2H, FORT COLLINS, CO 80526-1857
- **Mailing address phone:** (970) 472-8333
- **Mailing address fax:** (970) 472-8332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 5759 | CO | — |
| 207Q00000X | Family Medicine Physician | 49380 | CO | Yes |

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 01/06/2014
