Provider Demographics
NPI:1326144429
Name:DESERT HILLS CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:DESERT HILLS CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-587-9036
Mailing Address - Street 1:3170 W CAREFREE HWY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-3205
Mailing Address - Country:US
Mailing Address - Phone:623-587-9036
Mailing Address - Fax:623-587-9250
Practice Address - Street 1:3170 W CAREFREE HWY
Practice Address - Street 2:SUITE 5
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85086-3205
Practice Address - Country:US
Practice Address - Phone:623-587-9036
Practice Address - Fax:623-587-9250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7617111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty