Organization
FORTMEYER FAMILY WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON J FORTMEYER D.C. (CHIROPRACTOR)
(719) 346-7052
Entity
Organization
Contact information
Practice address
328 14TH ST, BURLINGTON, CO 80807-1608
(719) 346-7052
(719) 346-7053
Mailing address
328 14TH STREET, BURLINGTON, CO 80807
(719) 346-7052
(719) 346-7053
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
1730519844
CO
Other
Enumeration date
12/23/2014
Last updated
02/16/2015
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