Provider Demographics
NPI:1386841484
Name:SPARR CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:SPARR CHIROPRACTIC PLLC
Other - Org Name:CACTUS FLOWER WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:ALLONBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-293-3751
Mailing Address - Street 1:5813 N ORACLE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-3813
Mailing Address - Country:US
Mailing Address - Phone:520-293-3751
Mailing Address - Fax:520-293-8666
Practice Address - Street 1:5813 N ORACLE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-3813
Practice Address - Country:US
Practice Address - Phone:520-293-3751
Practice Address - Fax:520-293-8666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4420111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ101586Medicare ID - Type UnspecifiedMEDICARE GROUP #