Provider Demographics
NPI:1962675843
Name:GOLDBERG CHIROPRACTIC CORP.
Entity Type:Organization
Organization Name:GOLDBERG CHIROPRACTIC CORP.
Other - Org Name:ACCIDENT CHIROPRACTORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:GOLDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-989-6789
Mailing Address - Street 1:PO BOX 14567
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85063-4567
Mailing Address - Country:US
Mailing Address - Phone:602-253-8888
Mailing Address - Fax:602-252-0845
Practice Address - Street 1:5901 W INDIAN SCHOOL RD
Practice Address - Street 2:SUITE NUMBER 1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-2824
Practice Address - Country:US
Practice Address - Phone:602-253-8888
Practice Address - Fax:602-252-0845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty