Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 6343 | CO |
Y | 111NP0017X | Pediatric Chiropractor | 6343 | CO |
NPI | 1568807832 |
---|---|
Provider Name | Dr. Sharon Coles |
First Address | Littleton, CO 80127-6005 |
Second Address | Littleton, CO 80127-6005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2013 |
Last Update Date | 06/05/2013 |