Provider Demographics
NPI:1437696846
Name:THRIVE CHIROPRACTIC NORTH LLC
Entity Type:Organization
Organization Name:THRIVE CHIROPRACTIC NORTH LLC
Other - Org Name:THRIVE CHIRORPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:ISAACS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:952-210-2108
Mailing Address - Street 1:2721 S COLLEGE AVE
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-2199
Mailing Address - Country:US
Mailing Address - Phone:952-210-2108
Mailing Address - Fax:
Practice Address - Street 1:2721 S COLLEGE AVE
Practice Address - Street 2:UNIT 4A
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-2199
Practice Address - Country:US
Practice Address - Phone:952-210-2108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty