Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHR.0007699 | CO |
NPI | 1003325309 |
---|---|
Provider Name | Dr. Jonathan Andrew Budihas |
First Address | Westminster, CO 80023-9263 |
Second Address | Westminster, CO 80023-9263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2017 |
Last Update Date | 29/09/2017 |