Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CH11155 | FL |
Y | 111NS0005X | Chiropractic Sports Physician | CHR.0007310 | CO |
N | 111NS0005X | Chiropractic Sports Physician | X012555-1 | NY |
NPI | 1225456114 |
---|---|
Provider Name | Dr. Steven M Brown |
First Address | Boulder, CO 80301-1221 |
Second Address | Boulder, CO 80301-1221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 20/11/2019 |