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RUDDELL CHIROPRACTIC CENTER INC. NPI 1255576823


NPI Information

NPI: 1255576823
Provider Name: RUDDELL CHIROPRACTIC CENTER INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4864 E BASELINE RD
STE 105
MESA, AZ
ZIP 85206
Phone: (480) 558-1900
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RUDDELL CHIROPRACTIC CENTER 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. RUDDELL CHIROPRACTIC CENTER INC. NPI is 1255576823. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4864 E BASELINE RD
STE 105
MESA, AZ
ZIP 85206-629
Phone: (480) 558-1900
Fax: (480) 633-6086

The provider's authorized official is Ty S Ruddell .
The authorized official title is President and has the following contact phone number (480) 558-1900.

The enumeration date for this NPI number is 12/10/2008 and was last updated on 4/27/2009.


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
1111N00000XChiropractor6023ARIZONAYes

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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