Queen Creek Back Care, Llc | |
20231 E Ocotillo Rd, Suite 1, Queen Creek, AZ 85142-7639 | |
(480) 677-3900 | |
(480) 677-8310 |
Full Name | Queen Creek Back Care, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 20231 E Ocotillo Rd, Queen Creek, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356673800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 5944 (Arizona) | Primary |
Provider Name | Wayne Christensen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1225153844 PECOS PAC ID: 7113071572 Enrollment ID: I20090819000782 |
Mailing Address | Practice Location Address |
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Queen Creek Back Care, Llc 20231 E Ocotillo Rd, Suite 1, Queen Creek, AZ 85142-7639 Ph: (480) 677-3900 | Queen Creek Back Care, Llc 20231 E Ocotillo Rd, Suite 1, Queen Creek, AZ 85142-7639 Ph: (480) 677-3900 |
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