=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568685261
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALTERNATIVE HEALTHCARE ASSOCIATES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10613 NORTH HAYDEN ROAD SUITE J107
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85260-5576
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-951-4015
-----------------------------------------------------
Fax | 480-998-8924
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10613 NORTH HAYDEN ROAD SUITE J107
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85260-5576
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-951-4015
-----------------------------------------------------
Fax | 480-998-8924
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. JOSEPH THEODORE GACSI
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 480-951-4015
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | 4666
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------