Provider Demographics
NPI:1427225994
Name:CHIROPRACTIC JOINT LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC JOINT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADHAM
Authorized Official - Middle Name:HANNA
Authorized Official - Last Name:ABDALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-993-0131
Mailing Address - Street 1:1855 W GREENWAY RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-3475
Mailing Address - Country:US
Mailing Address - Phone:602-993-1031
Mailing Address - Fax:602-993-7335
Practice Address - Street 1:1855 W GREENWAY RD
Practice Address - Street 2:SUITE 111
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-3475
Practice Address - Country:US
Practice Address - Phone:602-993-1031
Practice Address - Fax:602-993-7335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7884111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty