Provider Demographics
NPI:1306977616
Name:CHIROFIT CORPORATION
Entity type:Organization
Organization Name:CHIROFIT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:928-204-1347
Mailing Address - Street 1:205 WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-5629
Mailing Address - Country:US
Mailing Address - Phone:928-204-1347
Mailing Address - Fax:
Practice Address - Street 1:205 WILLOW WAY
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-5629
Practice Address - Country:US
Practice Address - Phone:928-204-1347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ68785Medicare ID - Type UnspecifiedCHIROFIT NUMBER
AZ68786Medicare ID - Type UnspecifiedDANIEL BERGHER NUMBER