Provider Demographics
NPI:1962618264
Name:NOEL CHIROPRACTIC LLC
Entity type:Organization
Organization Name:NOEL CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-346-5524
Mailing Address - Street 1:PO BOX 631368
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80163-1368
Mailing Address - Country:US
Mailing Address - Phone:303-346-5524
Mailing Address - Fax:303-346-5529
Practice Address - Street 1:9695 SOUTH YOSEMITE STREET
Practice Address - Street 2:SUITE 356
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-3191
Practice Address - Country:US
Practice Address - Phone:303-346-5524
Practice Address - Fax:303-346-5529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4533111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC505038Medicare PIN