Provider Demographics
NPI:1003807967
Name:ENRIQUEZ, A. STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:A.
Middle Name:STEVEN
Last Name:ENRIQUEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2067 S FALCON DR
Mailing Address - Street 2:
Mailing Address - City:HIGLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85236-5872
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4435 S RURAL RD
Practice Address - Street 2:SUITE #4
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7059
Practice Address - Country:US
Practice Address - Phone:480-491-7241
Practice Address - Fax:480-491-7235
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7659111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor