Provider Demographics
NPI:1699903575
Name:COMPREHENSIVE HEALTH SERVICES, INCORPORATED
Entity type:Organization
Organization Name:COMPREHENSIVE HEALTH SERVICES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:GEAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:602-263-8484
Mailing Address - Street 1:3543 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5204
Mailing Address - Country:US
Mailing Address - Phone:602-262-8484
Mailing Address - Fax:602-263-3697
Practice Address - Street 1:3543 N 7TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-5204
Practice Address - Country:US
Practice Address - Phone:602-262-8484
Practice Address - Fax:602-263-3697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-30
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ554111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZT76894Medicare UPIN