Jody Leona Samuelson in Phoenix - Chiropractor

Jody Leona Samuelson - NPI 1205818507

Jody Leona Samuelson is a Chiropractor in Phoenix, Arizona. Jody Leona Samuelson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jody Leona Samuelson is 1205818507. The last update date is 2007-07-08.

Jody Leona Samuelson's current location address is 3919 W Cactus Rd, Phoenix, Arizona. You can contact this provider via phone number 6025471860 and fax number 6025471861. The mailing address for Jody Leona Samuelson is 3919 W Cactus Rd, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jody Leona Samuelson
Address 3919 W Cactus Rd, Phoenix, Arizona
Phone Number 6025471860
Fax Number 6025471861
Sole Proprietor X
Credentials DC

NPI Number Detail

NPI Number 1205818507
Provider Enumeration Date 2005-11-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3919 W Cactus Rd
City Phoenix
State Arizona (AZ)
Post Code 850292935
Phone Number 6025471860
Fax Number 6025471861

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 5356
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
AZ0939090 AZ BC

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FAQs about Jody Leona Samuelson

What is the unique 10-digit identifier code issued to Jody Leona Samuelson by the Centers for Medicare & Medicaid Services?

The Jody Leona Samuelson has been assigned the NPI (National Provider Identifier) 1205818507 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jody Leona Samuelson's facilities are situated?

The facilities of Jody Leona Samuelson are physically located at the following address: 3919 W Cactus Rd, Phoenix, AZ, 850292935.

What is Jody Leona Samuelson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jody Leona Samuelson's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

What is Jody Leona Samuelson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jody Leona Samuelson is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.

When was the information regarding Jody Leona Samuelson most recently updated?

The details pertaining to the Jody Leona Samuelson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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