Jr Llc | |
15420 N 7th St, Suite B, Phoenix, AZ 85022-3511 | |
(602) 298-0292 | |
(602) 298-6961 |
Full Name | Jr Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 15420 N 7th St, 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 |
---|---|---|---|
1437450459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 7587 (Arizona) | Primary |
Provider Name | Jamey S Reichow |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1063592111 PECOS PAC ID: 8820098916 Enrollment ID: I20070115000352 |
Mailing Address | Practice Location Address |
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Jr Llc 15420 N 7th St, Suite B, Phoenix, AZ 85022-3511 Ph: (602) 298-0292 | Jr Llc 15420 N 7th St, Suite B, Phoenix, AZ 85022-3511 Ph: (602) 298-0292 |
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