1750999389 NPI number — BEESON CHIROPRACTIC LIFE CENTER INC

Table of content: (NPI 1750999389)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750999389 NPI number — BEESON CHIROPRACTIC LIFE CENTER INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEESON CHIROPRACTIC LIFE CENTER INC
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:
6
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:
1750999389
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 25191
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRESCOTT VALLEY
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86312-5191
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-772-8638
Provider Business Mailing Address Fax Number:
928-775-2407

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8750 E VALLEY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRESCOTT VALLEY
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86314-8739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-772-8638
Provider Business Practice Location Address Fax Number:
928-775-2407
Provider Enumeration Date:
07/20/2020

Additional Information

Authorized Official

Authorized Official Last Name:
MORENO
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
OPERATIONS MANAGER
Authorized Official Telephone Number:
928-301-9491

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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