Organization
TEN MILE CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON ALVIN JUNKERMEIER D.C. (OWNER/PRESIDENT)
(970) 453-8282
Entity
Organization
Contact information
Practice address
424 SOUTH RIDGE STREET, BRECKENRIDGE, CO 80424-8802
(970) 453-8282
(970) 453-0676
Mailing address
PO BOX 8802, BRECKENRIDGE, CO 80424-9001
(970) 453-8282
(970) 453-0676
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
4979
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4979
STATE OF COLORADO LICENSE NUMBER
CO
Enumeration date
08/05/2010
Last updated
08/05/2010
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