Provider Demographics
NPI:1386653871
Name:BENDER CHIROPRACTIC CENTERS, INC
Entity Type:Organization
Organization Name:BENDER CHIROPRACTIC CENTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:SOLLA
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-404-2909
Mailing Address - Street 1:1601 E BELL RD
Mailing Address - Street 2:SUITE A-10
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-2895
Mailing Address - Country:US
Mailing Address - Phone:602-404-2909
Mailing Address - Fax:
Practice Address - Street 1:1601 E BELL RD
Practice Address - Street 2:SUITE A-10
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-2895
Practice Address - Country:US
Practice Address - Phone:602-404-2909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ441535Medicaid
AZ441527Medicaid
AZU37116Medicare UPIN
AZWDBSD02Medicare ID - Type UnspecifiedRONALD BENDER MEDICARE
AZWDBSD01Medicare ID - Type UnspecifiedCORINNE BENDER MEDICARE
AZ441535Medicaid