Provider Demographics
NPI:1558744904
Name:EVOL HEALTH
Entity Type:Organization
Organization Name:EVOL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZDANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:970-667-4669
Mailing Address - Street 1:1440 W 29TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-2459
Mailing Address - Country:US
Mailing Address - Phone:970-667-4669
Mailing Address - Fax:303-557-6321
Practice Address - Street 1:1440 W 29TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2459
Practice Address - Country:US
Practice Address - Phone:970-667-4669
Practice Address - Fax:303-557-6321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty