Provider Demographics
NPI:1689157224
Name:KORU CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:KORU CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORRIS
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GOLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-593-9796
Mailing Address - Street 1:956 W CHERRY ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-3047
Mailing Address - Country:US
Mailing Address - Phone:720-593-9796
Mailing Address - Fax:
Practice Address - Street 1:956 W CHERRY ST STE 102
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-3047
Practice Address - Country:US
Practice Address - Phone:720-593-9796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KORU CHIROPRACTIC, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty