Organization
BREITLOW CHIROPRACTIC LLC
Active
Other names
New Leaf Chiropractic & Family Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY D BREITLOW D.C. (CHIROPRACTIC PHYSICIAN/OWNER)
(804) 366-5461
Entity
Organization
Contact information
Practice address
600 S AIRPORT RD, SUITE C BUILDING C, LONGMONT, CO 80503-6424
(804) 366-5461
Mailing address
600 S AIRPORT RD, SUITE C BUILDING C, LONGMONT, CO 80503-6424
(804) 366-5461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011566
IL
Other
Enumeration date
06/30/2010
Last updated
08/23/2010
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