Organization
BECCO CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J BECCO D,C, (OWNER)
(719) 471-4174
Entity
Organization
Contact information
Practice address
1819 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3836
(719) 471-4174
(719) 633-2198
Mailing address
1819 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3836
(719) 471-4174
(719) 633-2198
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2465
CO
111N00000X
Chiropractor
3970
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08024655
—
CO
05
—
08039703
—
CO
01
—
602430000
COLORADO DEPARTMENT OF LABOR
CO
01
—
613074100
COLORADO DEPARTMENT OF LABOR
CO
Enumeration date
12/23/2010
Last updated
12/23/2010
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