Organization
CHIROPRACTIC LIFESTYLES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON W. CAHILL DC (OPERATOR)
(719) 475-2455
Entity
Organization
Contact information
Practice address
11605 MERIDIAN MARKET VW, SUITE # 142, PEYTON, CO 80831-8237
(719) 475-2455
(719) 475-2254
Mailing address
2812 W COLORADO AVE, SUITE # 104, COLORADO SPRINGS, CO 80904-2470
(719) 475-2455
(719) 475-2254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3993
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891822193
GROUP NPI
—
01
—
B65742
UPIN
CO
01
—
SA666803
ANTHEM BCBS
CO
Enumeration date
08/27/2007
Last updated
09/11/2008
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