Provider Demographics
NPI:1083614010
Name:FEEL GOOD NATURALLY INC
Entity Type:Organization
Organization Name:FEEL GOOD NATURALLY INC
Other - Org Name:HAGGARD CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:DARREL
Authorized Official - Last Name:HAGGARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-997-7531
Mailing Address - Street 1:10610 N 19 AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-4902
Mailing Address - Country:US
Mailing Address - Phone:602-997-7531
Mailing Address - Fax:602-997-7797
Practice Address - Street 1:10610 N 19 AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-4902
Practice Address - Country:US
Practice Address - Phone:602-997-7531
Practice Address - Fax:602-997-7797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-01
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ527860148Medicare ID - Type Unspecified