Provider Demographics
NPI:1033452404
Name:ATKINSON FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:ATKINSON FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:ATKINOSN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-324-1000
Mailing Address - Street 1:2830 E BROWN RD STE C-11
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-5430
Mailing Address - Country:US
Mailing Address - Phone:480-324-1000
Mailing Address - Fax:480-324-8056
Practice Address - Street 1:2830 E BROWN RD STE C-11
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-5430
Practice Address - Country:US
Practice Address - Phone:480-324-1000
Practice Address - Fax:480-324-8056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5109111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZDC5109Medicare PIN