Provider Type Icon

CROTALUS CHIROPRACTIC CENTERS PLC NPI 1073001590


NPI Information

NPI: 1073001590
Provider Name: CROTALUS CHIROPRACTIC CENTERS, PLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3540 E BASELINE RD STE 117
PHOENIX, AZ
ZIP 85042
Phone: (602) 777-7970
Get Directions

CROTALUS CHIROPRACTIC CENTERS, PLC 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. CROTALUS CHIROPRACTIC CENTERS, PLC NPI is 1073001590. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3540 E BASELINE RD STE 117
PHOENIX, AZ
ZIP 85042-628
Phone: (602) 777-7970
Fax: (877) 771-6086

The provider's authorized official is Brendan Patrick O'connor .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (602) 777-7970.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 5/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor6095ARIZONAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.