At Home Chiropractic PLLC
Chiropractor in Gilbert, AZ. Organization (NPI-2).
NPI number1770917643
StatusActive
Last updated in NPPESAug 28, 2013
Details
- NPI
- 1770917643
- Entity type
- Organization (NPI-2)
- Legal business name
- At Home Chiropractic PLLC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2013
- Last updated
- Aug 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 8192 | AZ | Yes |
Practice location
4255 E Pecos Rd#3016
Gilbert, AZ 85295-7832
Phone 480-440-3994
Mailing address
4255 E Pecos Rd#3016
Gilbert, AZ 85295-7832
Phone 480-440-3994
Authorized official
Sean Rome Mackenzie
Doctor/Owner
4804403994
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