Provider Demographics
NPI:1225278690
Name:BE YOU - BE WELL
Entity Type:Organization
Organization Name:BE YOU - BE WELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHILDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-451-5852
Mailing Address - Street 1:10751 N FRANK LLOYD WRIGHT BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-2671
Mailing Address - Country:US
Mailing Address - Phone:480-451-5852
Mailing Address - Fax:
Practice Address - Street 1:10751 N FRANK LLOYD WRIGHT BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-2671
Practice Address - Country:US
Practice Address - Phone:480-451-5852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7991261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center