Provider Demographics
NPI:1346391737
Name:EMERGENCY CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:EMERGENCY CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAKTA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-321-5071
Mailing Address - Street 1:2040 E BELL RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-2963
Mailing Address - Country:US
Mailing Address - Phone:602-992-5064
Mailing Address - Fax:602-482-2034
Practice Address - Street 1:4859 W GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85301-2733
Practice Address - Country:US
Practice Address - Phone:623-937-1666
Practice Address - Fax:623-931-2379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty