Healthcare Provider Details

I. General information

NPI: 1700063369
Provider Name (Legal Business Name): OLYMPIC HEALTH CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2008
Last Update Date: 01/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7426 E STETSON DR SUITE 125
SCOTTSDALE AZ
85251-3547
US

IV. Provider business mailing address

7426 E STETSON DR SUITE 125
SCOTTSDALE AZ
85251-3547
US

V. Phone/Fax

Practice location:
  • Phone: 480-425-7100
  • Fax: 480-425-0131
Mailing address:
  • Phone: 480-425-7100
  • Fax: 480-425-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number7872
License Number StateAZ

VIII. Authorized Official

Name: DR. JOSEPH V SCHIEGG
Title or Position: MEMBER
Credential: DC
Phone: 480-425-7100