Provider Demographics
NPI:1588840664
Name:FOOTHILLS FAMILY CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:FOOTHILLS FAMILY CHIROPRACTIC, INC
Other - Org Name:FOOTHILLS FAMILY CHIRO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HUNSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:NCICS
Authorized Official - Phone:623-256-2698
Mailing Address - Street 1:1241 E CHANDLER BLVD STE 122
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-4605
Mailing Address - Country:US
Mailing Address - Phone:480-460-1399
Mailing Address - Fax:480-460-1880
Practice Address - Street 1:1241 E CHANDLER BLVD STE 122
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-4605
Practice Address - Country:US
Practice Address - Phone:480-460-1399
Practice Address - Fax:480-460-1880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7893111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty