Mountainside Wellness Center Inc in Phoenix - Chiropractor
Mountainside Wellness Center Inc - NPI 1053583450
Mountainside Wellness Center Inc is a Chiropractor in Phoenix, Arizona. Mountainside Wellness Center Inc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mountainside Wellness Center Inc is 1053583450. The last update date is 2023-11-08.
Mountainside Wellness Center Inc's current location address is 16515 S 40th St Ste 129, Phoenix, Arizona. You can contact this provider via phone number 4809407444. The mailing address for Mountainside Wellness Center Inc is 16515 S 40th St Ste 129, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountainside Wellness Center Inc |
|---|---|
| Address | 16515 S 40th St Ste 129, Phoenix, Arizona |
| Phone Number | 4809407444 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Mettham Scott John |
| Credentials | D.C., P.T. |
| Telephone Number | 4809407444 |
NPI Number Detail
| NPI Number | 1053583450 |
|---|---|
| Provider Enumeration Date | 2008-03-26 |
| Last Updated Date | 2023-11-08 |
Provider Mailing Address Detail
| Address | 16515 S 40th St Ste 129 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850480560 |
| Phone Number | 4809407444 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 7077 |
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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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What is the unique 10-digit identifier code issued to Mountainside Wellness Center Inc by the Centers for Medicare & Medicaid Services?
The Mountainside Wellness Center Inc has been assigned the NPI (National Provider Identifier) 1053583450 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mountainside Wellness Center Inc?
The Mountainside Wellness Center Inc is situated at 16515 S 40Th St Ste 129, in the city of Phoenix, state of AZ, with the zip code 850480560.
What is the Mountainside Wellness Center Inc's specialty and taxonomy code?
The Mountainside Wellness Center Inc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Mountainside Wellness Center Inc receive the assignment of its 1053583450 from the Centers for Medicare & Medicaid Services?
The Mountainside Wellness Center Inc was issued its 1053583450 by the Centers for Medicare & Medicaid Services on 2008-03-26.
When was the information pertaining to Mountainside Wellness Center Inc most recently updated or revised?
The details related to Mountainside Wellness Center Inc, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-08.