Provider Demographics
NPI:1194856534
Name:CHAMBERS, DAWN LYNNETTE (DC, FIAMA)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:LYNNETTE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:DC, FIAMA
Other - Prefix:DR
Other - First Name:DAWN
Other - Middle Name:LYNNETTE
Other - Last Name:PHATUROS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC, FIAMA
Mailing Address - Street 1:2911 E QUIET HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-6234
Mailing Address - Country:US
Mailing Address - Phone:480-390-5779
Mailing Address - Fax:
Practice Address - Street 1:5533 E BELL RD
Practice Address - Street 2:SUITE 116
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-1228
Practice Address - Country:US
Practice Address - Phone:480-390-5779
Practice Address - Fax:602-482-4169
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2009-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6099111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ125998Medicare UPIN