Provider Demographics
NPI:1063117448
Name:VALLEY NATURAL HEALTH LLC
Entity type:Organization
Organization Name:VALLEY NATURAL HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:COONRAD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-669-1008
Mailing Address - Street 1:6220 GEORGETOWN BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6417
Mailing Address - Country:US
Mailing Address - Phone:410-795-7766
Mailing Address - Fax:410-795-7000
Practice Address - Street 1:6220 GEORGETOWN BLVD STE E
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6417
Practice Address - Country:US
Practice Address - Phone:410-795-7766
Practice Address - Fax:410-795-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty