Provider Demographics
NPI:1174750632
Name:ROHRICK, BRIAN ALAN (DC)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:ALAN
Last Name:ROHRICK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1442 FOLSUM DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-4692
Mailing Address - Country:US
Mailing Address - Phone:248-807-9181
Mailing Address - Fax:
Practice Address - Street 1:3221 EASTBROOK DR
Practice Address - Street 2:UNIT 102
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5708
Practice Address - Country:US
Practice Address - Phone:248-807-9181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-11
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009571111N00000X
CO6667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor