Provider Demographics
NPI:1396915732
Name:CONTINENTAL NATURAL HEALTH CLINIC
Entity type:Organization
Organization Name:CONTINENTAL NATURAL HEALTH CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:IAN
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:520-625-1101
Mailing Address - Street 1:210 W CONTINENTAL RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-1995
Mailing Address - Country:US
Mailing Address - Phone:520-625-1101
Mailing Address - Fax:520-625-1016
Practice Address - Street 1:210 W CONTINENTAL RD
Practice Address - Street 2:SUITE 130
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-1995
Practice Address - Country:US
Practice Address - Phone:520-625-1101
Practice Address - Fax:520-625-1016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0871207QG0300X
AZ5658111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ69836Medicare PIN