Provider Demographics
NPI:1295903169
Name:COHRS CHIROPRACTIC CARE INC
Entity type:Organization
Organization Name:COHRS CHIROPRACTIC CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:COHRS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-899-9629
Mailing Address - Street 1:590 N ALMA SCHOOL RD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-4361
Mailing Address - Country:US
Mailing Address - Phone:480-899-9629
Mailing Address - Fax:480-659-2376
Practice Address - Street 1:590 N ALMA SCHOOL RD
Practice Address - Street 2:SUITE 15
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4361
Practice Address - Country:US
Practice Address - Phone:480-899-9629
Practice Address - Fax:480-659-2376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5937111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU74545Medicare UPIN