Back To Health Chiropractic | |
42104 N Venture Dr, A-102, Phoenix, AZ 85086-3823 | |
(623) 680-4496 | |
Not Available |
Full Name | Back To Health Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 42104 N Venture Dr, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952624611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Samuel B Hester |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033110846 PECOS PAC ID: 1759367451 Enrollment ID: I20040624001298 |
Provider Name | Jose J Cruz |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558995027 PECOS PAC ID: 8022446145 Enrollment ID: I20200323003129 |
Provider Name | Luke David Shillig |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1235838368 PECOS PAC ID: 3678948692 Enrollment ID: I20230405000700 |
Mailing Address | Practice Location Address |
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Back To Health Chiropractic 42104 N Venture Dr, A-102, Phoenix, AZ 85086-3823 Ph: (623) 680-4496 | Back To Health Chiropractic 42104 N Venture Dr, A-102, Phoenix, AZ 85086-3823 Ph: (623) 680-4496 |
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