Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH0006899 | CO |
NPI | 1063978377 |
---|---|
Provider Name | Dr. Martin Carl Claus |
First Address | Highlands Ranch, CO 80129-6242 |
Second Address | Aurora, CO 80014-2802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2019 |
Last Update Date | 12/02/2019 |