Provider Demographics
NPI:1083913529
Name:NCH CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:NCH CHIROPRACTIC, PLLC
Other - Org Name:ORLANDO INJURY AND HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HERBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-314-1721
Mailing Address - Street 1:767 STIRLING CENTER PL STE 1409
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5713
Mailing Address - Country:US
Mailing Address - Phone:407-723-7246
Mailing Address - Fax:407-906-5685
Practice Address - Street 1:767 STIRLING CENTER PL STE 1409
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-5713
Practice Address - Country:US
Practice Address - Phone:407-723-7246
Practice Address - Fax:407-906-5685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty