Provider Demographics
NPI:1669584785
Name:WELL ADJUSTED INCORPORATED
Entity type:Organization
Organization Name:WELL ADJUSTED INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVANIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BAHNERTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-563-5006
Mailing Address - Street 1:30825 N CAVE CREEK RD
Mailing Address - Street 2:STE 127
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-2954
Mailing Address - Country:US
Mailing Address - Phone:480-563-5006
Mailing Address - Fax:480-563-5276
Practice Address - Street 1:30825 N CAVE CREEK RD
Practice Address - Street 2:STE 127
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-2954
Practice Address - Country:US
Practice Address - Phone:480-563-5006
Practice Address - Fax:480-563-5276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty