MEDICARE: GREAT CHOICE INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	7290	AZ

General Provider Information

NPI Number	:	1487826277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT CHOICE INCORPORATED

Provider Business Mailing Address
First Line	:	15810 S 45TH ST
Second Line	:	SUITE 160
City	:	PHOENIX
State	:	AZ
Zip	:	85048-7694
Country	:	US
Telephone Number	:	480-704-6600
Fax Number	:	480-704-6617

Provider Business Practice Location Address
First Line	:	15425 S 40TH PL
Second Line	:	SUITE 2
City	:	PHOENIX
State	:	AZ
Zip	:	85044-3746
Country	:	US
Telephone Number	:	480-704-6600
Fax Number	:	480-704-6617

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GREG A HAUSER
Credential	:	DC, FICPA
Telephone Number	:	480-704-6600

Provider Enumeration Date	:	04/01/2008
Last Update Date	:	07/10/2009

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Directions to “GREAT CHOICE INCORPORATED ” Practice Location

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