# GUBBELS CHIROPRACTIC & WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Square ONE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699939777
- **Authorized official:** DR. CHRISTOPHER MICHAEL GUBBELS D.C. (OWNER/PRESIDENT)
- **Authorized official phone:** (970) 207-4463

## Contact information

- **Practice address:** 275 E BOARDWALK DR, FORT COLLINS, CO 80525
- **Practice address phone:** (970) 207-4463
- **Practice address fax:** (970) 207-4052
- **Mailing address:** 257 E BOARDWALK DR, FORT COLLINS, CO 80525
- **Mailing address phone:** (970) 207-4463
- **Mailing address fax:** (970) 207-4052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHR 6256 | CO | Yes |

## Other

- **Enumeration date:** 07/17/2008
- **Last updated:** 06/07/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | COB4123 | MEDICARE PTAN | CO |