Provider Demographics
NPI:1467643270
Name:BILTMORE SPINAL HEALTH, LLC
Entity Type:Organization
Organization Name:BILTMORE SPINAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOLLIHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-840-3705
Mailing Address - Street 1:3102 E INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-6872
Mailing Address - Country:US
Mailing Address - Phone:602-840-3705
Mailing Address - Fax:602-840-3718
Practice Address - Street 1:3102 E INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 140
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-6872
Practice Address - Country:US
Practice Address - Phone:602-840-3705
Practice Address - Fax:602-840-3718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty