Provider Demographics
NPI:1821165606
Name:HERNANDEZ, ELIU JOSUE (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIU
Middle Name:JOSUE
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:DC
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Other - Credentials:
Mailing Address - Street 1:1650 38TH STREET SUITE 204W
Mailing Address - Street 2:MOUNTAINVIEW CHIROPRACTIC CENTER
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2623
Mailing Address - Country:US
Mailing Address - Phone:303-447-9700
Mailing Address - Fax:303-447-0795
Practice Address - Street 1:1650 38TH STREET SUITE 204W
Practice Address - Street 2:MOUNTAINVIEW CHIROPRACTIC CENTER
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2623
Practice Address - Country:US
Practice Address - Phone:303-447-9700
Practice Address - Fax:303-447-0795
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO5659111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor