Provider Demographics
NPI:1962539098
Name:IRONCARE, INC.
Entity type:Organization
Organization Name:IRONCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-991-2691
Mailing Address - Street 1:9070 E. DESERT COVE DR.
Mailing Address - Street 2:SUITE B-106
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6228
Mailing Address - Country:US
Mailing Address - Phone:480-390-9730
Mailing Address - Fax:480-483-4655
Practice Address - Street 1:9070 E. DESERT COVE DR.
Practice Address - Street 2:SUITE B-106
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6228
Practice Address - Country:US
Practice Address - Phone:480-390-9730
Practice Address - Fax:480-483-4655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7301111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty