CRESCENT CHIROPRACTIC PC NPI 1013290261

NPI Information

NPI: 1013290261
Provider Name: CRESCENT CHIROPRACTIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
9014 N 23RD AVE STE 8
PHOENIX, AZ
ZIP 85021
Phone: (602) 861-3339
Get Directions

CRESCENT CHIROPRACTIC PC is a chiropractor in Phoenix, AZ. The provider is 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 interrelationship with other body systems. CRESCENT CHIROPRACTIC PC NPI is 1013290261. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9014 N 23RD AVE STE 8
PHOENIX, AZ
ZIP 85021-854
Phone: (602) 861-3339
Fax: (602) 861-3280

The provider's authorized official is Russell K Ho Lem .
The authorized official title is President and has the following contact phone number (602) 861-3339.

The enumeration date for this NPI number is 9/23/2011 and was last updated on 10/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		5492	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U56758	MEDICARE UPIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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