Provider Demographics
NPI:1932313921
Name:DESERT SKY CHIROPRACTIC
Entity Type:Organization
Organization Name:DESERT SKY CHIROPRACTIC
Other - Org Name:DSC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMELINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-952-2802
Mailing Address - Street 1:4219 E INDIAN SCHOOL RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5373
Mailing Address - Country:US
Mailing Address - Phone:602-952-2802
Mailing Address - Fax:602-952-2803
Practice Address - Street 1:4219 E INDIAN SCHOOL RD
Practice Address - Street 2:SUITE 101
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5373
Practice Address - Country:US
Practice Address - Phone:602-952-2802
Practice Address - Fax:602-952-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty