Provider Demographics
NPI:1205297611
Name:SCHOR, JACOB (ND)
Entity type:Individual
Prefix:DR
First Name:JACOB
Middle Name:
Last Name:SCHOR
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 S PARKER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-7550
Mailing Address - Country:US
Mailing Address - Phone:303-337-4884
Mailing Address - Fax:
Practice Address - Street 1:1181 S PARKER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-7550
Practice Address - Country:US
Practice Address - Phone:303-337-4884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO57175F00000X
OR755175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath