1524 Corporation Inc. in Mesa - Chiropractor
1524 Corporation Inc. - NPI 1174793004
1524 Corporation Inc. is a Chiropractor in Mesa, Arizona. 1524 Corporation Inc. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for 1524 Corporation Inc. is 1174793004. The last update date is 2011-10-25.
1524 Corporation Inc.'s current location address is 6047 E University Dr, Mesa, Arizona. You can contact this provider via phone number 4809853040 and fax number 4809853040. The mailing address for 1524 Corporation Inc. is 6047 E University Dr, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 1524 Corporation Inc. |
|---|---|
| Address | 6047 E University Dr, Mesa, Arizona |
| Phone Number | 4809853040 |
| Fax Number | 4809853040 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Probyn Marlene Susana |
| Credentials | D.C. |
| Telephone Number | 4809853040 |
NPI Number Detail
| NPI Number | 1174793004 |
|---|---|
| Provider Enumeration Date | 2008-03-06 |
| Last Updated Date | 2011-10-25 |
Provider Mailing Address Detail
| Address | 6047 E University Dr |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852057517 |
| Phone Number | 4809853040 |
| Fax Number | 4809853040 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 5724 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to 1524 Corporation Inc. by the Centers for Medicare & Medicaid Services?
The 1524 Corporation Inc. has been issued the NPI (National Provider Identifier) 1174793004 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where 1524 Corporation Inc. is physically located?
The 1524 Corporation Inc. is physically situated at the following address: 6047 E University Dr, Mesa, AZ, 852057517.
What is the 1524 Corporation Inc.'s specialty and taxonomy code?
The 1524 Corporation Inc.'s specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174793004 to 1524 Corporation Inc.?
The 1524 Corporation Inc. received its 1174793004 assignment from the Centers for Medicare & Medicaid Services on 2008-03-06.
When was the information pertaining to 1524 Corporation Inc. most recently updated or revised?
The details related to 1524 Corporation Inc., including its address, specialty, and other relevant information, were last updated or revised on 2011-10-25.