Provider Demographics
NPI:1528398898
Name:NATURAL CHOICE HEALTHCARE, PLLC
Entity Type:Organization
Organization Name:NATURAL CHOICE HEALTHCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:JEMISON
Authorized Official - Suffix:
Authorized Official - Credentials:NMD
Authorized Official - Phone:480-204-6847
Mailing Address - Street 1:1045 E UNIVERSITY DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-8000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1045 E UNIVERSITY DR
Practice Address - Street 2:SUITE 4
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-8000
Practice Address - Country:US
Practice Address - Phone:480-204-6847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1149175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty