Provider Demographics
NPI:1922174283
Name:MICHAEL R MCCARTNEY DC PC
Entity Type:Organization
Organization Name:MICHAEL R MCCARTNEY DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ROWELL
Authorized Official - Last Name:MCCARTNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-661-1977
Mailing Address - Street 1:10752 NO 89TH PLACE
Mailing Address - Street 2:SUITE 228
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6745
Mailing Address - Country:US
Mailing Address - Phone:480-661-1977
Mailing Address - Fax:480-767-0761
Practice Address - Street 1:10752 NO 89TH PLACE
Practice Address - Street 2:SUITE 228
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6745
Practice Address - Country:US
Practice Address - Phone:480-661-1977
Practice Address - Fax:480-767-0761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5262111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ74154Medicare ID - Type Unspecified
T06208Medicare UPIN