AGAVE CHIROPRACTIC LLC NPI 1982046975

NPI Information

AGAVE CHIROPRACTIC, LLC 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. AGAVE CHIROPRACTIC, LLC NPI is 1982046975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3040 N 44TH ST
SUITE 3
PHOENIX, AZ
ZIP 85018-225
Phone: (602) 956-8736
Fax: (602) 956-8769

The provider's authorized official is Paul Van Berkel .
The authorized official title is Owner and has the following contact phone number (602) 956-8736.

The enumeration date for this NPI number is 7/19/2013 and was last updated on 7/30/2013.

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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