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1524 CORPORATION INC. NPI 1174793004


NPI Information

NPI: 1174793004
Provider Name: 1524 CORPORATION INC.

Doing Business As: DR. SUE PROBYN

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6047 E UNIVERSITY DR
MESA, AZ
ZIP 85205
Phone: (480) 985-3040
Get Directions

1524 CORPORATION INC. is a chiropractor in Mesa, 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. 1524 CORPORATION INC. NPI is 1174793004. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Sue Probyn.

The provider's business location address is:

6047 E UNIVERSITY DR
MESA, AZ
ZIP 85205-517
Phone: (480) 985-3040
Fax: (480) 985-3040

The provider's authorized official is Susana Marlene Probyn .
The authorized official title is President and has the following contact phone number (480) 985-3040.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 10/25/2011.


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
1111N00000XChiropractor5724ARIZONAYes

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
1U77265MEDICARE UPINARIZONA

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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