Provider Demographics
NPI:1366028524
Name:DESERT VIEW CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:DESERT VIEW CHIROPRACTIC PLLC
Other - Org Name:CAREY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-300-1553
Mailing Address - Street 1:868 COVE PKWY STE 4
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-5567
Mailing Address - Country:US
Mailing Address - Phone:928-300-1553
Mailing Address - Fax:
Practice Address - Street 1:868 COVE PKWY STE 4
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-5567
Practice Address - Country:US
Practice Address - Phone:928-300-1553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty