Healthcare Provider Details

I. General information

NPI: 1396915732
Provider Name (Legal Business Name): CONTINENTAL NATURAL HEALTH CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W CONTINENTAL RD SUITE 130
GREEN VALLEY AZ
85614-1995
US

IV. Provider business mailing address

210 W CONTINENTAL RD SUITE 130
GREEN VALLEY AZ
85614-1995
US

V. Phone/Fax

Practice location:
  • Phone: 520-625-1101
  • Fax: 520-625-1016
Mailing address:
  • Phone: 520-625-1101
  • Fax: 520-625-1016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5658
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number0871
License Number StateAZ

VIII. Authorized Official

Name: DR. PAUL IAN SINCLAIR
Title or Position: MANAGER
Credential: D.C.
Phone: 520-625-1101