Provider Demographics
NPI:1104945625
Name:BILLINGS CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:BILLINGS CHIROPRACTIC, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:BILLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-831-1100
Mailing Address - Street 1:139 E WILLIAMS FIELD RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-5233
Mailing Address - Country:US
Mailing Address - Phone:480-831-1100
Mailing Address - Fax:480-302-5803
Practice Address - Street 1:139 E WILLIAMS FIELD RD
Practice Address - Street 2:SUITE 110
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-5233
Practice Address - Country:US
Practice Address - Phone:480-831-1100
Practice Address - Fax:480-302-5803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty