MEDICARE: HUFFMAN CHIROPRACTIC, PLLC

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	5112	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1Z1452	OTHER	AZ	HEALTH NET
2	AZ0935770	OTHER	AZ	BCBS AZ

General Provider Information

NPI Number	:	1649350604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUFFMAN CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	1695 MESQUITE AVE STE 114
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-5647
Country	:	US
Telephone Number	:	928-453-6808
Fax Number	:	928-453-8485

Provider Business Practice Location Address
First Line	:	1695 MESQUITE AVE STE 114
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-5647
Country	:	US
Telephone Number	:	928-453-6808
Fax Number	:	928-453-8485

Authorized Official
Title or Position	:	OWNER/PARTNER
Name	:	DR. PAUL SHANNON HUFFMAN
Credential	:	DC
Telephone Number	:	928-453-6808

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	10/06/2008

Similar Medicare Providers

1184637373 — PAUL SHANNON HUFFMAN D.C.
Practice Location Address:

1695 MESQUITE AVE , SUITE 114
LAKE HAVASU CITY, AZ
86403-5647

Practice Phone: 928-453-6808
Practice Fax: 928-453-8485

1437158490 — LOUISE M ARLIEN CNP
Practice Location Address:

900 6TH ST
HOWARD LAKE, MN
55349-5647

Practice Phone: 952-442-3190
Practice Fax: 952-442-3185

1831241348 — RIDGEVIEW CLINICS
Practice Location Address:

900 6TH ST
HOWARD LAKE, MN
55349-5647

Practice Phone: 320-543-2591
Practice Fax: 320-543-2693

1407051154 — RIDGEVIEW CLINICS
Practice Location Address:

900 6TH ST
HOWARD LAKE, MN
55349-5647

Practice Phone: 952-442-3190
Practice Fax: 952-442-3185

1205269370 — MS. DELORIS MAXWELL
Practice Location Address:

385 W LAKE RD
MONTICELLO, FL
32344-5647

Practice Phone: 850-997-0141
Practice Fax: 850-997-1208

1588424329 — EMILY NIEMEYER BCABA
Practice Location Address:

15580 WING LAKE DR
MINNETONKA, MN
55345-5647

Practice Phone: 612-867-8466
Practice Fax:

Directions to “HUFFMAN CHIROPRACTIC, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.