Provider Demographics
NPI:1538465620
Name:A ALYESH CHIROPRACTIC INC
Entity Type:Organization
Organization Name:A ALYESH CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALYESHMERNI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-863-9003
Mailing Address - Street 1:1427 E BELL RD STE 104
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-2712
Mailing Address - Country:US
Mailing Address - Phone:602-863-9003
Mailing Address - Fax:602-993-3014
Practice Address - Street 1:1427 E BELL RD STE 104
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-2712
Practice Address - Country:US
Practice Address - Phone:602-863-9003
Practice Address - Fax:602-993-3014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4131111N00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty