SOUTHWEST CHIROMED BUCKEYE LLC NPI 1063292563

NPI Information

NPI: 1063292563
Provider Name: SOUTHWEST CHIROMED BUCKEYE LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
305 N 4TH ST
BUCKEYE, AZ
ZIP 85326
Phone: (623) 393-8767
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SOUTHWEST CHIROMED BUCKEYE LLC is a multi-specialty clinic center in Buckeye, AZ. SOUTHWEST CHIROMED BUCKEYE LLC NPI is 1063292563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

305 N 4TH ST
BUCKEYE, AZ
ZIP 85326-405
Phone: (623) 393-8767

The provider's authorized official is David Ketchum .
The authorized official title is Owner and has the following contact phone number (702) 292-2225.

The enumeration date for this NPI number is 10/2/2023 and was last updated on 12/27/2023.

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				No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 5/5/2024

NPI Synchronization or Removal

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