Provider Demographics
NPI:1689696635
Name:HATZENBELER, CHRISSY (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISSY
Middle Name:
Last Name:HATZENBELER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4365 E PECOS RD
Mailing Address - Street 2:STE. 129
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-7875
Mailing Address - Country:US
Mailing Address - Phone:480-633-0237
Mailing Address - Fax:
Practice Address - Street 1:4365 E PECOS RD
Practice Address - Street 2:STE. 129
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-7875
Practice Address - Country:US
Practice Address - Phone:480-633-0237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0443080OtherBC/BS PROVIDER NUMBER