Provider Demographics
NPI:1861676181
Name:EUROPEAN CHIROPRACTIC CENTRE, PLC
Entity Type:Organization
Organization Name:EUROPEAN CHIROPRACTIC CENTRE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:INKOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-656-0263
Mailing Address - Street 1:28230 N TATUM BLVD STE C3
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-6342
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28230 N TATUM BLVD STE C3
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-6342
Practice Address - Country:US
Practice Address - Phone:480-656-0263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZT20788Medicare UPIN
AZZ108963Medicare PIN