Provider Demographics
NPI:1063592111
Name:REICHOW, JAMEY S (DC)
Entity type:Individual
Prefix:
First Name:JAMEY
Middle Name:S
Last Name:REICHOW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 E BLANCHE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4021
Mailing Address - Country:US
Mailing Address - Phone:480-529-2752
Mailing Address - Fax:
Practice Address - Street 1:15420 N 7TH ST STE B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-3511
Practice Address - Country:US
Practice Address - Phone:602-298-0292
Practice Address - Fax:602-298-6961
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7587111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor