Provider Type Icon

GOOD LIFE INC NPI 1417156415


NPI Information

NPI: 1417156415
Provider Name: GOOD LIFE INC

Doing Business As: GOOD LIFE FAMILY HEALTH

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3624 W ANTHEM WAY
SUITE C-110
ANTHEM, AZ
ZIP 85086
Phone: (623) 551-9950
Get Directions

GOOD LIFE INC is a chiropractor in Anthem, 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. GOOD LIFE INC NPI is 1417156415. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Good Life Family Health.

The provider's business location address is:

3624 W ANTHEM WAY
SUITE C-110
ANTHEM, AZ
ZIP 85086-440
Phone: (623) 551-9950
Fax: (623) 551-2454

The provider's authorized official is Lawrence Larragoite .
The authorized official title is Vice-president and has the following contact phone number (623) 551-9950.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 7/11/2007.


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
1111N00000XChiropractorAZ 7399ARIZONAYes

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
1U98426MEDICARE UPINARIZONA
2U98697MEDICARE UPINARIZONA
3Z 77718MEDICARE PINARIZONA
4Z 77718MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.