Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CHR.0007870 | CO |
Y | 111NN0400X | Neurology | CHR.0007870 | CO |
N | 111NR0400X | Rehabilitation Chiropractor | CHR.0007870 | CO |
NPI | 1255819751 |
---|---|
Provider Name | Dr. Henry Zaremba |
First Address | Boulder, CO 80301-2633 |
Second Address | Boulder, CO 80301-2633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2018 |
Last Update Date | 06/08/2018 |