1194856534 NPI number — DR. DAWN LYNNETTE CHAMBERS D.C., F.I.A.M.A.

Table of content: CINDY J TIPTON LMP (NPI 1760698773)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194856534 NPI number — DR. DAWN LYNNETTE CHAMBERS D.C., F.I.A.M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAMBERS
Provider First Name:
DAWN
Provider Middle Name:
LYNNETTE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C., F.I.A.M.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PHATUROS
Provider Other First Name:
DAWN
Provider Other Middle Name:
LYNNETTE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C., F.I.A.M.A.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1194856534
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/25/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2911 E QUIET HOLLOW LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85024-6234
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-390-5779
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5533 E BELL RD
Provider Second Line Business Practice Location Address:
SUITE 116
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85254-1228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-390-5779
Provider Business Practice Location Address Fax Number:
602-482-4169
Provider Enumeration Date:
03/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  6099 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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