Provider Demographics
NPI:1821034901
Name:SINATRA, ROLAND LOUIS (DC)
Entity Type:Individual
Prefix:DR
First Name:ROLAND
Middle Name:LOUIS
Last Name:SINATRA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 E BELL RD
Mailing Address - Street 2:STE 11
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022
Mailing Address - Country:US
Mailing Address - Phone:602-992-2715
Mailing Address - Fax:602-992-0106
Practice Address - Street 1:1717 E BELL RD
Practice Address - Street 2:STE 11
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022
Practice Address - Country:US
Practice Address - Phone:602-992-2715
Practice Address - Fax:602-992-0106
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5268111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0939370OtherBCBS
AZWMBFD02Medicare ID - Type Unspecified