Healthcare Provider Details

I. General information

NPI: 1215341664
Provider Name (Legal Business Name): POSTURE DOCS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2014
Last Update Date: 08/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11075 E ACACIA DR
SCOTTSDALE AZ
85255-2418
US

IV. Provider business mailing address

11075 E ACACIA DR
SCOTTSDALE AZ
85255-2418
US

V. Phone/Fax

Practice location:
  • Phone: 239-269-9038
  • Fax:
Mailing address:
  • Phone: 239-269-9038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberAZ 7643
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. ILYNE KOBRIN URBANOVICH
Title or Position: PRESIDENT/MANAGER
Credential: DC
Phone: 239-269-9038