Provider Demographics
NPI:1164738928
Name:DLUGAS CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:DLUGAS CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DLUGAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-282-2628
Mailing Address - Street 1:5231 S BRADSHAW PL
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-5277
Mailing Address - Country:US
Mailing Address - Phone:480-282-2628
Mailing Address - Fax:
Practice Address - Street 1:9666 E RIGGS RD STE 130
Practice Address - Street 2:
Practice Address - City:SUN LAKES
Practice Address - State:AZ
Practice Address - Zip Code:85248-7505
Practice Address - Country:US
Practice Address - Phone:480-282-2628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8073261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center