Provider Demographics
NPI:1063517514
Name:ARIZONA FAMILY CHIROPRACTIC PC
Entity type:Organization
Organization Name:ARIZONA FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:HANDZEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-883-9494
Mailing Address - Street 1:4040 S ARIZONA AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3984
Mailing Address - Country:US
Mailing Address - Phone:480-883-9494
Mailing Address - Fax:480-883-9500
Practice Address - Street 1:4040 S ARIZONA AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-3984
Practice Address - Country:US
Practice Address - Phone:480-883-9494
Practice Address - Fax:480-883-9500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7640111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ111707Medicare PIN