1821302985 NPI number — PERFORMANCE PLUS CHIROPRACTIC LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821302985 NPI number — PERFORMANCE PLUS CHIROPRACTIC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERFORMANCE PLUS CHIROPRACTIC LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821302985
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/01/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4410 W UNION HILLS DR STE 7
Provider Second Line Business Mailing Address:
309
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85308-1656
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-765-9736
Provider Business Mailing Address Fax Number:
602-942-2106

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5930 W GREENWAY RD STE 26
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85306-3291
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-765-9736
Provider Business Practice Location Address Fax Number:
602-942-2106
Provider Enumeration Date:
08/01/2010

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNAON
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
CARL
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
623-584-9661

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  5344 , 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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