Provider Demographics
NPI:1720035504
Name:ELEVATION NOW, PC
Entity Type:Organization
Organization Name:ELEVATION NOW, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SECHRIST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-263-9100
Mailing Address - Street 1:2505 FORESIGHT CIR UNIT C1
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1081
Mailing Address - Country:US
Mailing Address - Phone:970-263-9100
Mailing Address - Fax:
Practice Address - Street 1:2505 FORESIGHT CIR UNIT C1
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1081
Practice Address - Country:US
Practice Address - Phone:970-263-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO800213Medicare ID - Type UnspecifiedINDIVIDUAL
COV02556Medicare UPIN
CO800212Medicare ID - Type UnspecifiedGROUP