Back On Track Chiropractic
Chiropractor in Chandler, AZ. Organization (NPI-2).
NPI number1114366259
StatusActive
Last updated in NPPESJun 21, 2013
Details
- NPI
- 1114366259
- Entity type
- Organization (NPI-2)
- Legal business name
- Back On Track Chiropractic
- Organization subpart
- No
- Enumeration date
- Jun 21, 2013
- Last updated
- Jun 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
2051 W Warner RdSuite 1
Chandler, AZ 85224-2100
Phone 480-963-0504 · Fax 480-963-2899
Mailing address
2051 W. Warner Rd.Suite 1
Chandler, AZ 85224-8700
Phone 480-963-0504 · Fax 480-963-2899
Authorized official
Christopher L. Long
Doctor/ Owner
4809630504
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