JERRY A PAULSON DC INC NPI 1275793838

NPI Information

  • NPI: 1275793838
  • Provider Name: JERRY A PAULSON DC INC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: STONERIDGE CHIROPRACTIC WELLNESS CENTER
  • Address: 7671 E BUENA VISTA DR
    PRESCOTT VALLEY, AZ
    ZIP 86314
  • Phone: (928) 710-0019

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NPI Details

JERRY A PAULSON DC INC is a chiropractor in Prescott Valley, 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. JERRY A PAULSON DC INC NPI is 1275793838. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Stoneridge Chiropractic Wellness Center.

The provider's business location address is:

7671 E BUENA VISTA DR
PRESCOTT VALLEY, AZ
ZIP 86314-532
Phone: (928) 710-0019

The provider's authorized official is Jerry Arnold Paulson .
The authorized official title is Chiropractor and has the following contact phone number (928) 533-3311.

The enumeration date for this NPI number is 6/16/2008 and was last updated on 11/18/2010.

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
1111N00000XChiropractor6030ARIZONAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z64461MEDICARE PINARIZONA

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: 11/21/2025

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