Organization · NPI-2

1524 Corporation INC.

Chiropractor · Mesa, AZ

NPI number1174793004
StatusActive
Last updated in NPPESOct 25, 2011

Details

NPI
1174793004
Entity type
Organization (NPI-2)
Legal business name
1524 Corporation INC.
Organization subpart
No
Enumeration date
Mar 6, 2008
Last updated
Oct 25, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor5724AZYes

Other names

  • Dr. Sue Probyn (Doing Business As)

Practice location

6047 E University Dr
Mesa, AZ 85205-7517

Phone 480-985-3040 · Fax 480-985-3040

Mailing address

6047 E University Dr
Mesa, AZ 85205-7517

Phone 480-985-3040 · Fax 480-985-3040

Authorized official

Susana Marlene Probyn
President
4809853040

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