Provider Demographics
NPI:1790059012
Name:EMPOWERMENT TECHNOLOGIES INC
Entity Type:Organization
Organization Name:EMPOWERMENT TECHNOLOGIES INC
Other - Org Name:LIVING INLINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-704-2787
Mailing Address - Street 1:4221 E CHANDLER BLVD
Mailing Address - Street 2:STE 114
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-8874
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4221 E CHANDLER BLVD
Practice Address - Street 2:STE 114
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048-8874
Practice Address - Country:US
Practice Address - Phone:480-704-2787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5903111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty