Provider Demographics
NPI:1699981217
Name:ROMNEY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:ROMNEY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MILES
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROMNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:520-820-2888
Mailing Address - Street 1:720 W. CALLE ARROYO SUR SUITE 160
Mailing Address - Street 2:PO BOX 1057
Mailing Address - City:SAHUARITA
Mailing Address - State:AZ
Mailing Address - Zip Code:85629
Mailing Address - Country:US
Mailing Address - Phone:520-625-5776
Mailing Address - Fax:
Practice Address - Street 1:720 W. CALLE ARROYO SUR
Practice Address - Street 2:SUITE 160
Practice Address - City:SAHUARITA
Practice Address - State:AZ
Practice Address - Zip Code:85629
Practice Address - Country:US
Practice Address - Phone:520-625-5776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7507111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ114739OtherGROUP PIN
AZZ114739Medicare PIN