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VICENA CHIROPRACTIC SC NPI 1720207210


NPI Information

NPI: 1720207210
Provider Name: VICENA CHIROPRACTIC SC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6344 E BROADWAY RD
SUITE 102
MESA, AZ
ZIP 85206
Phone: (480) 854-2222
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VICENA CHIROPRACTIC SC 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. VICENA CHIROPRACTIC SC NPI is 1720207210. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6344 E BROADWAY RD
SUITE 102
MESA, AZ
ZIP 85206-634
Phone: (480) 854-2222
Fax: (480) 807-3781

The provider's authorized official is Marianne Elizabeth Remalia .
The authorized official title is Office Manager and has the following contact phone number (480) 854-2222.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.


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
1111N00000XChiropractor5429ARIZONAYes

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
1AZ0247740OTHERARIZONABLUE CROSS BLUE SHIELD AZ
21Z4184OTHERARIZONAHEALTHNET

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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