Provider Demographics
NPI:1578836078
Name:IN TOUCH CHIROPRACTIC
Entity Type:Organization
Organization Name:IN TOUCH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:
Authorized Official - Last Name:PISANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-548-1998
Mailing Address - Street 1:2302 W GREENWAY RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-4235
Mailing Address - Country:US
Mailing Address - Phone:602-548-1998
Mailing Address - Fax:602-283-5927
Practice Address - Street 1:2302 W. GREENWAY RD.
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023
Practice Address - Country:US
Practice Address - Phone:602-548-1998
Practice Address - Fax:602-283-5927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7321111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty