Provider Demographics
NPI:1073875431
Name:STEVEN A. COOL, D.C. LTD.
Entity Type:Organization
Organization Name:STEVEN A. COOL, D.C. LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:COOL
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:602-955-1770
Mailing Address - Street 1:3401 E THOMAS RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-7469
Mailing Address - Country:US
Mailing Address - Phone:602-955-1770
Mailing Address - Fax:602-955-1775
Practice Address - Street 1:3401 E THOMAS RD
Practice Address - Street 2:SUITE G
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-7469
Practice Address - Country:US
Practice Address - Phone:602-955-1770
Practice Address - Fax:602-955-1775
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEVEN A. COOL DC LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty