Provider Demographics
NPI:1346576592
Name:REED CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:REED CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:623-584-2328
Mailing Address - Street 1:19082 N R H JOHNSON BLVD
Mailing Address - Street 2:SUITE H
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4482
Mailing Address - Country:US
Mailing Address - Phone:623-584-2328
Mailing Address - Fax:623-584-4796
Practice Address - Street 1:19082 N R H JOHNSON BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4482
Practice Address - Country:US
Practice Address - Phone:623-584-2328
Practice Address - Fax:623-584-4796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3365111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ551806350Medicare UPIN