Healthcare Provider Details

I. General information

NPI: 1740524917
Provider Name (Legal Business Name): NTL GROUP,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2012
Last Update Date: 11/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23623 N SCOTTSDALE RD SUITE D3-414
SCOTTSDALE AZ
85255-3471
US

IV. Provider business mailing address

23623 N SCOTTSDALE RD SUITE D3-414
SCOTTSDALE AZ
85255-3471
US

V. Phone/Fax

Practice location:
  • Phone: 602-799-2051
  • Fax:
Mailing address:
  • Phone: 602-799-2051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: CURTIS CRIPE
Title or Position: ADMINISTRATOR
Credential:
Phone: 602-799-2051