Provider Demographics
NPI:1730640202
Name:ELEVATE HEALTH CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ELEVATE HEALTH CHIROPRACTIC LLC
Other - Org Name:ELEVATE HEALTH CHIROPRACTIC, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ANDRADE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-688-6372
Mailing Address - Street 1:4251 KIPLING ST UNIT 130
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2897
Mailing Address - Country:US
Mailing Address - Phone:720-688-6372
Mailing Address - Fax:720-815-2569
Practice Address - Street 1:4251 KIPLING ST UNIT 130
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2897
Practice Address - Country:US
Practice Address - Phone:720-688-6372
Practice Address - Fax:720-815-2569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty