Provider Demographics
NPI:1720203680
Name:RSEB LLC
Entity Type:Organization
Organization Name:RSEB LLC
Other - Org Name:BETTER HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:SHURTLEFF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-266-7276
Mailing Address - Street 1:5727 N 7TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5817
Mailing Address - Country:US
Mailing Address - Phone:602-266-7246
Mailing Address - Fax:602-285-9255
Practice Address - Street 1:5727 N 7TH ST STE 300
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-5817
Practice Address - Country:US
Practice Address - Phone:602-266-7246
Practice Address - Fax:602-285-9255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3935 4679111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ24958Medicare ID - Type UnspecifiedEVERETT BEYER D.C.
AZ66290Medicare UPIN
AZZ24955Medicare ID - Type Unspecified