Provider Demographics
NPI:1871726224
Name:JORDHEIM, ANDREA LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:LYNN
Last Name:JORDHEIM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2501 BLICHMAN AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1092
Mailing Address - Country:US
Mailing Address - Phone:970-812-5559
Mailing Address - Fax:888-972-6051
Practice Address - Street 1:2501 BLICHMAN AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1092
Practice Address - Country:US
Practice Address - Phone:970-812-5559
Practice Address - Fax:888-972-6051
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR0007006111NN1001X, 111NT0100X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NT0100XChiropractic ProvidersChiropractorThermography