Provider Demographics
NPI:1740513340
Name:GUYTON CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:GUYTON CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GUYTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:620-682-9079
Mailing Address - Street 1:8567 N SILVERBELL RD
Mailing Address - Street 2:211
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-7110
Mailing Address - Country:US
Mailing Address - Phone:520-682-9079
Mailing Address - Fax:520-325-5496
Practice Address - Street 1:8567 N SILVERBELL RD
Practice Address - Street 2:211
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-7110
Practice Address - Country:US
Practice Address - Phone:520-682-9079
Practice Address - Fax:520-325-5496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ21156Medicare PIN