Provider Demographics
NPI:1740472406
Name:A PLUS CHIROPRACTIC CARE
Entity type:Organization
Organization Name:A PLUS CHIROPRACTIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:FERN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-649-5868
Mailing Address - Street 1:904 N MCQUEEN RD STE 104
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-2285
Mailing Address - Country:US
Mailing Address - Phone:480-649-5868
Mailing Address - Fax:
Practice Address - Street 1:201 W GUADALUPE RD STE 311
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-3319
Practice Address - Country:US
Practice Address - Phone:480-649-5868
Practice Address - Fax:480-649-5870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5306111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ467804Medicaid
AZ64233Medicare PIN
AZU59217Medicare UPIN