Provider Demographics
NPI:1396360210
Name:URBAN HEALTH CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:URBAN HEALTH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ACEVEDO
Authorized Official - Suffix:III
Authorized Official - Credentials:DC, MS
Authorized Official - Phone:503-372-6016
Mailing Address - Street 1:1610 N ADAIR ST STE D
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:OR
Mailing Address - Zip Code:97113-8832
Mailing Address - Country:US
Mailing Address - Phone:503-372-6016
Mailing Address - Fax:
Practice Address - Street 1:1610 N ADAIR ST STE D
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:OR
Practice Address - Zip Code:97113-8832
Practice Address - Country:US
Practice Address - Phone:503-372-6016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty