BEELINE CHIROPRACTIC PC NPI 1972865939

NPI Information

BEELINE CHIROPRACTIC PC is a chiropractor in Payson, 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. BEELINE CHIROPRACTIC PC NPI is 1972865939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

414 S BEELINE HWY
SUITE 6
PAYSON, AZ
ZIP 85541-884
Phone: (928) 474-5555
Fax: (928) 474-3707

The provider's authorized official is Robert Jon Sanders .
The authorized official title is President and has the following contact phone number (928) 474-5555.

The CLIA number assigned to this NPI record is 03D2075071 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2012 and was last updated on 6/14/2012.

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:

Other Identifiers

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

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