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DTK HOLDING CORP NPI 1366703175


NPI Information

NPI: 1366703175
Provider Name: DTK HOLDING CORP

Doing Business As: FAMILY CHIROPRACTIC CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5505 W CHANDLER BLVD
#3
CHANDLER, AZ
ZIP 85226
Phone: (480) 756-2600
Get Directions

DTK HOLDING CORP is a chiropractor in Chandler, 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. DTK HOLDING CORP NPI is 1366703175. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Family Chiropractic Center.

The provider's business location address is:

5505 W CHANDLER BLVD
#3
CHANDLER, AZ
ZIP 85226-683
Phone: (480) 756-2600
Fax: (480) 704-2448

The provider's authorized official is Trevor S Berry .
The authorized official title is Owner/doctor and has the following contact phone number (480) 756-2600.

The enumeration date for this NPI number is 6/7/2012 and was last updated on 6/7/2012.


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
1111NN0400XChiropractorNeurologyZDC5648ARIZONANo
2111N00000XChiropractorZDC5648ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZDC5648MEDICARE PINARIZONA

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: 4/28/2024

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