MEDICARE: AHERN CLINICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1033830369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHERN CLINICS LLC

Provider Business Mailing Address
First Line	:	2501 N HAYDEN RD STE 102
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-2326
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2501 N HAYDEN RD STE 102
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-2326
Country	:	US
Telephone Number	:	248-909-6193
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DYLAN AHERN
Credential	:	DC
Telephone Number	:	248-909-6193

Provider Enumeration Date	:	09/06/2022
Last Update Date	:	09/06/2022

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