Provider Demographics
NPI:1841363199
Name:ADVANCED HEALTH INC.
Entity type:Organization
Organization Name:ADVANCED HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-299-3500
Mailing Address - Street 1:4405 B LANDVIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2967
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4405 LANDVIEW DR STE B
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2967
Practice Address - Country:US
Practice Address - Phone:336-299-3500
Practice Address - Fax:336-299-0358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1698111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC44078OtherCIGNA
NC08222OtherBCBS STATE HEALTH PLAN
NC11408OtherPARTNERS
NC08653OtherBLUE CROSS BLUE SHIELD
NC4318725OtherAETNA
NC11408OtherPARTNERS