Organization
MISSION TRACE CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E JANUSCHKA D.C. (OWNER/OPERATTOR)
(720) 470-3805
Entity
Organization
Contact information
Practice address
3953 E 120TH AVE STE B, THORNTON, CO 80233-2090
(303) 452-2960
(303) 452-1344
Mailing address
3953 E 120TH AVE STE B, THORNTON, CO 80233-2090
(303) 452-2960
(303) 452-1344
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
2242
CO
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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