Provider Demographics
NPI:1114116936
Name:GREG MUCHNIJ, INC.
Entity Type:Organization
Organization Name:GREG MUCHNIJ, INC.
Other - Org Name:MY CHIROPRACTOR HEALTH & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:NONE
Authorized Official - Last Name:MUCHNIJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-866-3505
Mailing Address - Street 1:4550 E BELL RD STE 284
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-9306
Mailing Address - Country:US
Mailing Address - Phone:602-866-3505
Mailing Address - Fax:602-866-2521
Practice Address - Street 1:4550 E BELL RD STE 284
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-9306
Practice Address - Country:US
Practice Address - Phone:602-866-3505
Practice Address - Fax:602-866-2521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty