Healthcare Provider Details

I. General information

NPI: 1356578546
Provider Name (Legal Business Name): CAREFREE ACUPUNCTURE & CHIROPRACTIC CLINIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 06/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7518 E. ELBOW BEND SUITE A7
CAREFREE AZ
85377
US

IV. Provider business mailing address

PO BOX 2929
CAREFREE AZ
85377-2929
US

V. Phone/Fax

Practice location:
  • Phone: 480-488-9647
  • Fax: 480-488-8528
Mailing address:
  • Phone: 480-488-9647
  • Fax: 480-488-8528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number03900
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number065
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1928
License Number StateAZ

VIII. Authorized Official

Name: JOHN A AMARO
Title or Position: D.C.
Credential: D.C.
Phone: 480-488-9647