Provider Demographics
NPI:1194915223
Name:DISCOVER HEALTH CENTER INC
Entity type:Organization
Organization Name:DISCOVER HEALTH CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHEW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-870-1876
Mailing Address - Street 1:9812 N 7TH ST
Mailing Address - Street 2:6
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020
Mailing Address - Country:US
Mailing Address - Phone:602-870-1876
Mailing Address - Fax:602-997-2291
Practice Address - Street 1:9812 N 7TH ST
Practice Address - Street 2:6
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020
Practice Address - Country:US
Practice Address - Phone:602-870-1876
Practice Address - Fax:602-997-2291
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DISCOVER HEALTH CENTER INC DBA DYNAMIC CHIROPRACTIC CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4426ARIZONA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ64600Medicare UPIN