MEDICARE: COMPLETE CHIROPRACTIC & INJURY SERVICE

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	972	AZ

General Provider Information

NPI Number	:	1992132229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE CHIROPRACTIC & INJURY SERVICE

Provider Business Mailing Address
First Line	:	4245 N 16TH DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85015-4722
Country	:	US
Telephone Number	:	602-266-9399
Fax Number	:

Provider Business Practice Location Address
First Line	:	6025 N 27TH AVE
Second Line	:	#16
City	:	PHOENIX
State	:	AZ
Zip	:	85017-1763
Country	:	US
Telephone Number	:	602-242-2050
Fax Number	:	602-242-1564

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. DANIEL JOSEPH SEVIER
Credential	:	D.C.
Telephone Number	:	602-242-2050

Provider Enumeration Date	:	10/01/2013
Last Update Date	:	10/01/2013

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Directions to “COMPLETE CHIROPRACTIC & INJURY SERVICE ” Practice Location

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