Provider Demographics
NPI:1396206041
Name:DISCOVER HEALTH AND WELLNESS - UPTOWN, LLC
Entity Type:Organization
Organization Name:DISCOVER HEALTH AND WELLNESS - UPTOWN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-956-0631
Mailing Address - Street 1:1747 N MARION ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1120
Mailing Address - Country:US
Mailing Address - Phone:720-956-0631
Mailing Address - Fax:
Practice Address - Street 1:1747 N MARION ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1120
Practice Address - Country:US
Practice Address - Phone:720-956-0631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty