Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 33532 | CA |
N | 111N00000X | Chiropractor | CR1725 | ME |
NPI | 1003959123 |
---|---|
Provider Name | Dr. Michael Colpitts |
First Address | Truckee, CA 96162-8370 |
Second Address | Truckee, CA 96161-4952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 02/05/2016 |