Provider Demographics
NPI:1467585117
Name:FAMILY AND URGENT CHIROPRACTIC CARE
Entity Type:Organization
Organization Name:FAMILY AND URGENT CHIROPRACTIC CARE
Other - Org Name:URGENT CHIROPRACTIC CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:GIACOPPO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-995-9597
Mailing Address - Street 1:2613 W NORTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-4850
Mailing Address - Country:US
Mailing Address - Phone:602-995-9597
Mailing Address - Fax:602-995-9590
Practice Address - Street 1:2613 W NORTHERN AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-4850
Practice Address - Country:US
Practice Address - Phone:602-995-9597
Practice Address - Fax:602-995-9590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty