Provider Demographics
NPI:1649330382
Name:GREENWAY303 CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:GREENWAY303 CHIROPRACTIC P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUCUR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-698-7771
Mailing Address - Street 1:16995 W GREENWAY RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-9609
Mailing Address - Country:US
Mailing Address - Phone:623-698-7771
Mailing Address - Fax:623-455-8759
Practice Address - Street 1:16995 W GREENWAY RD STE 102
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-9609
Practice Address - Country:US
Practice Address - Phone:623-698-7771
Practice Address - Fax:623-455-8759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7731111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty