Provider Demographics
NPI:1134358864
Name:HERBERT, NOAH CHRISTOPHER (DC)
Entity type:Individual
Prefix:DR
First Name:NOAH
Middle Name:CHRISTOPHER
Last Name:HERBERT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 STIRLING CENTER PL STE 1409
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-5713
Mailing Address - Country:US
Mailing Address - Phone:407-723-7246
Mailing Address - Fax:407-906-5685
Practice Address - Street 1:767 STIRLING CENTER PL STE 1409
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-5713
Practice Address - Country:US
Practice Address - Phone:407-723-7246
Practice Address - Fax:407-906-5685
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556688111N00000X
FL10124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor