Provider Demographics
NPI:1720281751
Name:NORTH, MICHAEL PAUL (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PAUL
Last Name:NORTH
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
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Mailing Address - Street 1:1200 S WADSWORTH BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-5473
Mailing Address - Country:US
Mailing Address - Phone:303-922-6103
Mailing Address - Fax:303-922-6104
Practice Address - Street 1:1200 S WADSWORTH BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-5473
Practice Address - Country:US
Practice Address - Phone:303-922-6103
Practice Address - Fax:303-922-6104
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO1554111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor