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Individual

DR. LOUIS J CAVALLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1503 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3201
(303) 678-8555
(303) 678-2931
Mailing address
1503 MOUNTAIN VIEW AVE, LONGMONT, CO 80501
(303) 678-8555
(303) 678-2931

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00518000
NJ
111N00000X
Chiropractor
Primary
5821
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1K0384
HEALTHNET
NJ
01
2230355
AETNA
NJ
01
2422986000
AMERIHEALTH/BLUE CROSS
NJ
01
621921
UNTIED HC
NJ
05
7858400
NJ
01
C805580
MEDICAREPTAN
CO
01
P00236812
RAILROAD MEDICARE
NJ
01
P833467
OXFORD
NJ
Enumeration date
02/03/2006
Last updated
03/02/2017
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