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RENEWAL HEALING CHIROPRACTIC NPI 1619150224


NPI Information

NPI: 1619150224
Provider Name: RENEWAL HEALING CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2424 E SOUTHERN AVE
MESA, AZ
ZIP 85204
Phone: (480) 966-2634
Get Directions

RENEWAL HEALING CHIROPRACTIC 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. RENEWAL HEALING CHIROPRACTIC NPI is 1619150224. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2424 E SOUTHERN AVE
MESA, AZ
ZIP 85204-409
Phone: (480) 966-2634
Fax: (480) 892-9793

The provider's authorized official is Richard J. Swartz .
The authorized official title is Manager/member and has the following contact phone number (480) 966-2634.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 1/21/2011.


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
1111N00000XChiropractor5339ARIZONAYes

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
1Z72074MEDICARE 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: 4/28/2024

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