Individual
DR. JOEL T DEKANICH
Active
Individual
DR. JOEL T DEKANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, EMT
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
4050
CO
163W00000X
Registered Nurse
1637317
CO
363LF0000X
Family Nurse Practitioner
Primary
0995305
CO
Other
Enumeration date
01/29/2007
Last updated
02/11/2020
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