Provider Demographics
NPI:1164634184
Name:SIMPSON, IAIN K (DC)
Entity Type:Individual
Prefix:DR
First Name:IAIN
Middle Name:K
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9755 N 90TH ST
Mailing Address - Street 2:STE A203
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5079
Mailing Address - Country:US
Mailing Address - Phone:480-614-0052
Mailing Address - Fax:480-614-9880
Practice Address - Street 1:9301 E SHEA BLVD STE 127
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6736
Practice Address - Country:US
Practice Address - Phone:480-614-0052
Practice Address - Fax:480-614-9880
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7121111N00000X
CADC26587111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0936490OtherBLUE CROSS BLUE SHIELD
AZAZ0936490OtherBLUE CROSS BLUE SHIELD