Healthcare Provider Details

I. General information

NPI: 1740472406
Provider Name (Legal Business Name): A PLUS CHIROPRACTIC CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W GUADALUPE RD STE 311
GILBERT AZ
85233-3319
US

IV. Provider business mailing address

904 N MCQUEEN RD STE 104
GILBERT AZ
85233-2285
US

V. Phone/Fax

Practice location:
  • Phone: 480-649-5868
  • Fax: 480-649-5870
Mailing address:
  • Phone: 480-649-5868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5306
License Number StateAZ

VIII. Authorized Official

Name: DR. HOWARD D. FERN
Title or Position: CHIROPRACTOR/OWNER
Credential: DC
Phone: 480-649-5868