Provider Demographics
NPI:1558576785
Name:JOSEPH R MAJERUS DC
Entity Type:Organization
Organization Name:JOSEPH R MAJERUS DC
Other - Org Name:ARIZONA CHIROCENTRAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MAJERUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:928-680-4446
Mailing Address - Street 1:PO BOX 1972
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86405-1972
Mailing Address - Country:US
Mailing Address - Phone:928-680-4446
Mailing Address - Fax:928-680-6565
Practice Address - Street 1:2163 BIRCH SQ
Practice Address - Street 2:SUITE A
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-6757
Practice Address - Country:US
Practice Address - Phone:928-680-4446
Practice Address - Fax:928-680-6565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3515111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZDC3515OtherAZ LICENSE NUMBER
AZAZ0233020OtherBCBS OF AZ
AZT32869Medicare UPIN
AZZ75027Medicare ID - Type Unspecified