Provider Demographics
NPI:1558728949
Name:ADIO AZ INC
Entity Type:Organization
Organization Name:ADIO AZ INC
Other - Org Name:ADIO CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GAYLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:623-225-5560
Mailing Address - Street 1:7966 W THUNDERBIRD RD
Mailing Address - Street 2:UNIT 102
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-4902
Mailing Address - Country:US
Mailing Address - Phone:623-225-5560
Mailing Address - Fax:
Practice Address - Street 1:7966 W THUNDERBIRD RD
Practice Address - Street 2:UNIT 102
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4902
Practice Address - Country:US
Practice Address - Phone:623-225-5560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-15
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8484111N00000X, 111NI0013X, 111NN1001X, 111NP0017X, 111NR0200X, 111NR0400X, 111NS0005X, 111NT0100X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Single Specialty
No111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
No111NT0100XChiropractic ProvidersChiropractorThermographyGroup - Single Specialty
No111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty