Provider Demographics
NPI:1730605049
Name:NORCO CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:NORCO CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:WESTON
Authorized Official - Middle Name:
Authorized Official - Last Name:HIELSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:970-324-7024
Mailing Address - Street 1:4986 W 2ND STREET RD
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4735
Mailing Address - Country:US
Mailing Address - Phone:970-324-7024
Mailing Address - Fax:
Practice Address - Street 1:1520 MAIN ST UNIT 112
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-7909
Practice Address - Country:US
Practice Address - Phone:970-324-7024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7559111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1861939399OtherNPPES