Healthcare Provider Details

I. General information

NPI: 1427465335
Provider Name (Legal Business Name): RACHID DANIEL FAQIR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2014
Last Update Date: 07/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2765 N. SCOTTSDALE RD. #108
SCOTTSDALE AZ
85257
US

IV. Provider business mailing address

2765 N. SCOTTSDALE RD #108
SCOTTSDALE AZ
85257
US

V. Phone/Fax

Practice location:
  • Phone: 480-990-1818
  • Fax: 480-947-5797
Mailing address:
  • Phone: 480-990-1818
  • Fax: 480-947-5797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8348
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: