Provider Demographics
NPI:1639756992
Name:OPTIMUM HEALTH AND BALANCE
Entity Type:Organization
Organization Name:OPTIMUM HEALTH AND BALANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:JOHNSON
Authorized Official - Last Name:BOGDAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-907-9404
Mailing Address - Street 1:5400 WARD RD BLDG 1
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-1819
Mailing Address - Country:US
Mailing Address - Phone:303-907-9404
Mailing Address - Fax:
Practice Address - Street 1:5400 WARD RD BLDG 1
Practice Address - Street 2:SUITE 100
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-1819
Practice Address - Country:US
Practice Address - Phone:303-907-9404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty