Provider Demographics
NPI:1114178969
Name:INNER STRENGTH CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:INNER STRENGTH CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HEDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-882-3598
Mailing Address - Street 1:530 N ESTRELLA PKWY
Mailing Address - Street 2:STE. C-1
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-4137
Mailing Address - Country:US
Mailing Address - Phone:623-882-3598
Mailing Address - Fax:623-932-9210
Practice Address - Street 1:530 N ESTRELLA PKWY
Practice Address - Street 2:STE. C-1
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-4137
Practice Address - Country:US
Practice Address - Phone:623-882-3598
Practice Address - Fax:623-932-9210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7928111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty