Provider Demographics
NPI:1386651453
Name:HEALTH NORTH, LLC
Entity Type:Organization
Organization Name:HEALTH NORTH, LLC
Other - Org Name:HEALTH NORTH CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:CHERDACK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-641-5726
Mailing Address - Street 1:8741 SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80003-1440
Mailing Address - Country:US
Mailing Address - Phone:303-487-0209
Mailing Address - Fax:303-487-0269
Practice Address - Street 1:8741 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80003-1440
Practice Address - Country:US
Practice Address - Phone:303-487-0209
Practice Address - Fax:303-487-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5203111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty