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NPI Code Detail

MEDICARE: NATIONAL CHIROPRACTIC SOLUTIONS, LLC

MEDICARE: NATIONAL CHIROPRACTIC SOLUTIONS, 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
1111N00000XChiropractor5340AZ

General Provider Information

NPI Number : 1679864565
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL CHIROPRACTIC SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 5115 N DYSART RD
Second Line : SUITE 202 #611
City : LITCHFIELD PARK
State : AZ
Zip : 85340-3032
Country : US
Telephone Number : 602-430-8040
Fax Number : 623-547-5386
Provider Business Practice Location Address
First Line : 7710 W LOWER BUCKEYE RD
Second Line : SUITE 115
City : PHOENIX
State : AZ
Zip : 85043-3439
Country : US
Telephone Number : 623-776-2225
Fax Number : 623-776-2299
Authorized Official
Title or Position : MANAGER
Name : DR. JOSEPH L MAHER
Credential : DC
Telephone Number : 602-430-8040
Provider Enumeration Date : 04/26/2011
Last Update Date : 04/26/2011

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Directions to “NATIONAL CHIROPRACTIC SOLUTIONS, LLC ” Practice Location

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