Provider Demographics
NPI:1821132861
Name:NEXT LEVEL CHIROPRACTIC, INC
Entity Type:Organization
Organization Name:NEXT LEVEL CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARION
Authorized Official - Last Name:SWEET
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:928-636-7533
Mailing Address - Street 1:100 N US HIGHWAY 89
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHINO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86323-5980
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 N US HIGHWAY 89
Practice Address - Street 2:SUITE A
Practice Address - City:CHINO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86323-5980
Practice Address - Country:US
Practice Address - Phone:928-636-7533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7614111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty