Healthcare Provider Details

I. General information

NPI: 1750399291
Provider Name (Legal Business Name): JOSEPH L MAHER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 W LOWER BUCKEYE RD STE 115
PHOENIX AZ
85043-3439
US

IV. Provider business mailing address

5115 N DYSART RD STE 202 #611
LITCHFIELD PARK AZ
85340-3036
US

V. Phone/Fax

Practice location:
  • Phone: 480-503-2400
  • Fax: 480-539-4685
Mailing address:
  • Phone: 623-776-2225
  • Fax: 623-776-2299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5340
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: