Healthcare Provider Details

I. General information

NPI: 1841444817
Provider Name (Legal Business Name): REHABILITATION CHIROPRACTIC CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 03/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6638 E BASELINE RD STE 103
MESA AZ
85206-4433
US

IV. Provider business mailing address

801 S POWER RD SUITE 107
MESA AZ
85206-5207
US

V. Phone/Fax

Practice location:
  • Phone: 480-396-4400
  • Fax:
Mailing address:
  • Phone: 480-396-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: HARVEY ABRAMS
Title or Position: OWNER
Credential: DC
Phone: 480-396-4400