Provider Demographics
NPI:1508100330
Name:ARIZONA PROFESSIONAL HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ARIZONA PROFESSIONAL HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OZTEKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-633-5423
Mailing Address - Street 1:6424 E GREENWAY PKWY # 100
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-2045
Mailing Address - Country:US
Mailing Address - Phone:602-633-5423
Mailing Address - Fax:866-652-4523
Practice Address - Street 1:6424 E GREENWAY PKWY # 100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-2045
Practice Address - Country:US
Practice Address - Phone:602-633-5423
Practice Address - Fax:866-652-4523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-16
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8286111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty