Provider Demographics
NPI:1861476749
Name:TRINKA, JEFFREY A (DC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:TRINKA
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 1:11 W. VAN BUREN ST
Mailing Address - Street 2:SUITE 28
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323
Mailing Address - Country:US
Mailing Address - Phone:623-932-4060
Mailing Address - Fax:623-932-4417
Practice Address - Street 1:11 W. VAN BUREN ST
Practice Address - Street 2:SUITE 28
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85323
Practice Address - Country:US
Practice Address - Phone:623-932-4060
Practice Address - Fax:623-932-4417
Is Sole Proprietor?:No
Enumeration Date:2005-12-03
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5906111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ28071286OtherWORKERS COMPENSATION
AZ861019561OtherTAX ID
AZ1Z4727OtherHEALTH NET
AZAZ0932530OtherBLUE CROSS BLUE SHIELD
AZ28071286OtherWORKERS COMPENSATION
AZ1Z4727OtherHEALTH NET
AZAZ0932530OtherBLUE CROSS BLUE SHIELD