Provider Demographics
NPI:1376767889
Name:PALERMO CHIROPRACTIC & NATURAL HEALTHCARE
Entity Type:Organization
Organization Name:PALERMO CHIROPRACTIC & NATURAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PALERMO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-996-8360
Mailing Address - Street 1:12821 N CAVE CREEK RD
Mailing Address - Street 2:STE 101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022
Mailing Address - Country:US
Mailing Address - Phone:602-996-8360
Mailing Address - Fax:602-494-6004
Practice Address - Street 1:12821 N CAVE CREEK RD
Practice Address - Street 2:STE 101
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022
Practice Address - Country:US
Practice Address - Phone:602-996-8360
Practice Address - Fax:602-494-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7175111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ73753Medicare ID - Type Unspecified