Provider Demographics
NPI:1356527600
Name:POSTURE ADVANCED CHIROPRACTIC
Entity type:Organization
Organization Name:POSTURE ADVANCED CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-926-4111
Mailing Address - Street 1:1319 W BASELINE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-9308
Mailing Address - Country:US
Mailing Address - Phone:303-926-4111
Mailing Address - Fax:303-926-0911
Practice Address - Street 1:1319 W BASELINE RD STE 100
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-9308
Practice Address - Country:US
Practice Address - Phone:303-926-4111
Practice Address - Fax:303-926-0911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty