Provider Demographics
NPI:1154937845
Name:BJERKE, DANA LEAH (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:LEAH
Last Name:BJERKE
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 S TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-3151
Mailing Address - Country:US
Mailing Address - Phone:303-449-9494
Mailing Address - Fax:
Practice Address - Street 1:183 S TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-3151
Practice Address - Country:US
Practice Address - Phone:303-449-9494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist