Provider Demographics
NPI:1538104864
Name:TORRENS FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:TORRENS FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:TORRENS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:520-876-0166
Mailing Address - Street 1:1397 E FLORENCE BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85222-4738
Mailing Address - Country:US
Mailing Address - Phone:520-876-0166
Mailing Address - Fax:520-876-0373
Practice Address - Street 1:1397 E FLORENCE BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85222-4738
Practice Address - Country:US
Practice Address - Phone:520-876-0166
Practice Address - Fax:520-876-0373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5237111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ109808Medicare UPIN