Provider Demographics
NPI:1740427988
Name:BROOKS HEALTH CARE SYSTEMS, INC.
Entity Type:Organization
Organization Name:BROOKS HEALTH CARE SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TORRANCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-218-6354
Mailing Address - Street 1:3434 W ANTHEM WAY
Mailing Address - Street 2:SUITE 118, #452
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-0448
Mailing Address - Country:US
Mailing Address - Phone:623-218-6354
Mailing Address - Fax:623-398-7562
Practice Address - Street 1:2743 W EASTMAN DR
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-1780
Practice Address - Country:US
Practice Address - Phone:623-218-6354
Practice Address - Fax:623-398-7562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5901111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty