Provider Demographics
NPI:1366519209
Name:WEBB, BRIAN MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MICHAEL
Last Name:WEBB
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:18632 PONY EXPRESS DR
Mailing Address - Street 2:SUITE #102
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4011
Mailing Address - Country:US
Mailing Address - Phone:303-805-1127
Mailing Address - Fax:303-841-8350
Practice Address - Street 1:18632 PONY EXPRESS DR
Practice Address - Street 2:SUITE #102
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-4011
Practice Address - Country:US
Practice Address - Phone:303-805-1127
Practice Address - Fax:303-841-8350
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2014-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO5340111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
808293Medicare PIN