MEDICARE: CAMELVIEW CHIROPRACTIC

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	5340	AZ

General Provider Information

NPI Number	:	1487850400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMELVIEW CHIROPRACTIC

Provider Business Mailing Address
First Line	:	5115 N. DYSART RD. STE 202 611
Second Line	:
City	:	LITCHFIELD PARK
State	:	AZ
Zip	:	85340
Country	:	US
Telephone Number	:	602-957-4622
Fax Number	:	602-957-4620

Provider Business Practice Location Address
First Line	:	4040 E CAMELBACK RD STE 105
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-2736
Country	:	US
Telephone Number	:	602-957-4622
Fax Number	:	602-957-4620

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH MAHER
Credential	:	DC
Telephone Number	:	602-957-4622

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	08/22/2020

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Directions to “CAMELVIEW CHIROPRACTIC ” Practice Location

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