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DR. GINA MARIE BONAVITO LARRAGOITE DC NPI 1639261308


NPI Information

NPI: 1639261308
Provider Name: DR. GINA MARIE BONAVITO LARRAGOITE, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
3624 W ANTHEM WAY
SUITE C 110
ANTHEM, AZ
ZIP 85086
Phone: (623) 551-9950
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DR. Gina Marie Bonavito Larragoite, DC 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. DR. Gina Marie Bonavito Larragoite, DC NPI is 1639261308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

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

The enumeration date for this NPI number is 9/29/2006 and was last updated on 7/8/2007.


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
1111N00000XChiropractor7282ARIZONAYes

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
1AZ0939890OTHERARIZONABLUE CROSS BLUE SHIELD
2U98697MEDICARE UPIN
377720MEDICARE ID-TYPE UNSPECIFIEDARIZONA

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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