Provider Demographics
NPI:1508387713
Name:AR FOOTE CHIROPRACTIC & HEALTH SERVICES, PLLC
Entity Type:Organization
Organization Name:AR FOOTE CHIROPRACTIC & HEALTH SERVICES, PLLC
Other - Org Name:ALEXANDER R. FOOTE, DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:FOOTE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-982-6568
Mailing Address - Street 1:22048 E PECAN DR
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-4895
Mailing Address - Country:US
Mailing Address - Phone:480-982-6568
Mailing Address - Fax:
Practice Address - Street 1:2080 W SOUTHERN AVE BLDG A2
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-7656
Practice Address - Country:US
Practice Address - Phone:480-982-6568
Practice Address - Fax:480-982-6568
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AR FOOTE CHIROPRACTIC & HEALTH SERVICES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-28
Last Update Date:2017-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7686111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty