Provider Demographics
NPI:1215795919
Name:CENTRAL HEALTH LLC
Entity type:Organization
Organization Name:CENTRAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCAS
Authorized Official - Middle Name:
Authorized Official - Last Name:EMMERICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-304-3683
Mailing Address - Street 1:1451 BLUESTEM BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:WI
Mailing Address - Zip Code:54720-2619
Mailing Address - Country:US
Mailing Address - Phone:715-304-3683
Mailing Address - Fax:715-304-3679
Practice Address - Street 1:1451 BLUESTEM BLVD STE C
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:WI
Practice Address - Zip Code:54720-2619
Practice Address - Country:US
Practice Address - Phone:715-304-3683
Practice Address - Fax:715-304-3679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty