Provider Demographics
NPI:1396826699
Name:JANOWSKI, DON (DC)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:
Last Name:JANOWSKI
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 1:1075 E RIGGS RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-3685
Mailing Address - Country:US
Mailing Address - Phone:480-940-1991
Mailing Address - Fax:480-802-1912
Practice Address - Street 1:1075 E RIGGS RD
Practice Address - Street 2:SUITE 1
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-3685
Practice Address - Country:US
Practice Address - Phone:480-940-1991
Practice Address - Fax:480-802-1912
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7570111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0946210OtherBLUE CROSS/BLUE SHIELD
AZ106152Medicare PIN