JUSTIN RUSSELL WILLCOXSON (NPI# 1073086567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073086567 |
| Entity Type | Individual |
| Full Name | JUSTIN RUSSELL WILLCOXSON |
| Practice Address |
2525 Arapahoe Ave Unit C2 Boulder CO 80302-6724 |
| Mailing Address |
600 W County Line Rd Apt 25-201 Highlands Ranch CO 80129-6532 |
| Practice Telephone | 7193735339 |
| Mailing Telephone | 7193735339 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH0007175 | CO | Chiropractic Providers |
| Street Address |
2525 ARAPAHOE AVE UNIT C2 |
| City | BOULDER |
| State | CO |
| Zip Code | 80302-6724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508369 | Haak Chiropractic LLC | Chiropractor | 6666 Gunpark Dr Ste 100, Boulder, CO 80301-3396 | 2020-08-10 |
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1386268779 | Amy Katelyn Putrus-schnell | Chiropractor | 2013 Walnut St # 1, Boulder, CO 80302-4485 | 2020-06-02 |
| 1568008910 | Navit Ariel Zukerman | Chiropractor | 2401 Broadway St # 208, Boulder, CO 80304-4108 | 2019-11-20 |
| 1508416934 | Lisa Gail Raskin | Chiropractor | 2299 Pearl St Ste 204, Boulder, CO 80302-4670 | 2019-09-17 |
| 1477108918 | Carolyn Wojtusiak | Chiropractor | 1800 30th St Ste 219, Boulder, CO 80301-1026 | 2019-08-01 |
| 1265911994 | Ryan Keith Marchman | Chiropractor | 1727 15th St Ste 100b, Boulder, CO 80302-6346 | 2018-08-13 |
| 1255819751 | Henry Zaremba | Chiropractor | 4840 Riverbend Rd Ste 100, Boulder, CO 80301-2633 | 2018-08-06 |
| 1437645231 | Joshua B Luitjohan | Chiropractor | 2625 28th St Ste 100, Boulder, CO 80301-1263 | 2018-07-03 |
| 1639664311 | Richard Baez | Chiropractor | 2305 Canyon Blvd Ste 102, Boulder, CO 80302-5651 | 2018-06-26 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.