Provider Demographics
NPI:1376724369
Name:MCCARTNEY, MICHAEL ROWELL (DC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ROWELL
Last Name:MCCARTNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10752 N 89TH PL STE 228
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6745
Mailing Address - Country:US
Mailing Address - Phone:480-661-1977
Mailing Address - Fax:480-767-0761
Practice Address - Street 1:10752 N 89TH PL STE 228
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6745
Practice Address - Country:US
Practice Address - Phone:480-661-1977
Practice Address - Fax:480-767-0761
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-18
Last Update Date:2007-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ111N00000X 5262OtherPROVIDER TAXONOMY
AZT06208Medicare UPIN
AZZ74154Medicare PIN