Provider Demographics
NPI:1609104587
Name:RITA RANCH CHIROPRACTIC & ACUPUNCTURE, INC
Entity Type:Organization
Organization Name:RITA RANCH CHIROPRACTIC & ACUPUNCTURE, INC
Other - Org Name:JAMES SUBA CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SUBA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:520-609-8900
Mailing Address - Street 1:PO BOX 12190
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85732-2190
Mailing Address - Country:US
Mailing Address - Phone:520-609-8900
Mailing Address - Fax:520-293-1788
Practice Address - Street 1:698 E WETMORE RD
Practice Address - Street 2:STE 320
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1751
Practice Address - Country:US
Practice Address - Phone:520-408-2225
Practice Address - Fax:520-293-1788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-03
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty