Individual
JACOB GLENN FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1990 WADSWORTH BLVD, SUITE #2, LAKEWOOD, CO 80214-5287
(303) 238-6500
(303) 238-6509
Mailing address
1990 WADSWORTH BLVD, SUITE #2, LAKEWOOD, CO 80214-5287
(303) 238-6500
(303) 238-0757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6506
CO
111NN0400X
Neurology Chiropractor
6506
CO
111NN1001X
Nutrition Chiropractor
6506
CO
111NP0017X
Pediatric Chiropractor
6506
CO
111NR0200X
Radiology Chiropractor
6506
CO
111NR0400X
Rehabilitation Chiropractor
6506
CO
111NS0005X
Sports Physician Chiropractor
6506
CO
111NT0100X
Thermography Chiropractor
6506
CO
111NX0100X
Occupational Health Chiropractor
6506
CO
111NX0800X
Orthopedic Chiropractor
6506
CO
Other
Enumeration date
05/04/2010
Last updated
02/04/2014
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