Provider Demographics
NPI:1780746164
Name:RICHER, JEAN CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:JEAN CHARLES
Middle Name:
Last Name:RICHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 E OAK STREET
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2111
Mailing Address - Country:US
Mailing Address - Phone:480-941-5252
Mailing Address - Fax:480-941-0670
Practice Address - Street 1:7120 E OAK STREET
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-2111
Practice Address - Country:US
Practice Address - Phone:480-941-5252
Practice Address - Fax:480-941-0670
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ07417070H111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0236230OtherBCBS OF AZ
AZDC4765Medicare ID - Type Unspecified