Provider Demographics
NPI:1396015558
Name:RICHARD W ANDREASEN DC & ASSOCIATES PLC
Entity Type:Organization
Organization Name:RICHARD W ANDREASEN DC & ASSOCIATES PLC
Other - Org Name:ANDREASEN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ANDREASEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-279-4441
Mailing Address - Street 1:7400 S POWER RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-9281
Mailing Address - Country:US
Mailing Address - Phone:480-279-4441
Mailing Address - Fax:480-302-7812
Practice Address - Street 1:7400 S POWER RD
Practice Address - Street 2:SUITE 120
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-9281
Practice Address - Country:US
Practice Address - Phone:480-279-4441
Practice Address - Fax:480-302-7812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5692111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty