Judge Chiropractic Clinic | |
288 N Ironwood Dr #108-109 Apache Junction AZ 85120-3830 | |
(480) 735-1034 | |
(480) 983-1275 |
Full Name | Judge Chiropractic Clinic |
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Speciality | Clinic/Center |
Location | 288 N Ironwood Dr, Apache Junction, Arizona |
Authorized Official Name and Position | Herbert Dietmar Rosenberg (OWNER) |
Authorized Official Contact | 4807351034 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Judge Chiropractic Clinic 288 N Ironwood Dr Ste 108 Apache Junction AZ 85120-3830 Ph: (480) 983-1274 | Judge Chiropractic Clinic 288 N Ironwood Dr #108-109 Apache Junction AZ 85120-3830 Ph: (480) 735-1034 |
NPI Number | 1578721056 |
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Provider Enumeration Date | 05/30/2008 |
Last Update Date | 05/10/2011 |
Medicare PECOS PAC ID | 1951472992 |
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Medicare Enrollment ID | O20080903000241 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578721056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 7864 (Arizona) | Primary |
Provider Name | Herbert D Rosenberg |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821279654 PECOS PAC ID: 0749364719 Enrollment ID: I20080228000739 |
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