Provider Demographics
NPI:1114203288
Name:JOURNEY TO HEALTH CHIROPRACTIC INC
Entity Type:Organization
Organization Name:JOURNEY TO HEALTH CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:VAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-917-5642
Mailing Address - Street 1:8357 N RAMPART RANGE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-9365
Mailing Address - Country:US
Mailing Address - Phone:303-932-0081
Mailing Address - Fax:303-932-1363
Practice Address - Street 1:8357 N RAMPART RANGE RD STE 205
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-9365
Practice Address - Country:US
Practice Address - Phone:303-932-0081
Practice Address - Fax:303-932-1363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty