Provider Demographics
NPI:1801084447
Name:SANCHEZ, JAIME GALAVIZ (DC)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:GALAVIZ
Last Name:SANCHEZ
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 1:2986 W INA RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-2154
Mailing Address - Country:US
Mailing Address - Phone:520-229-9355
Mailing Address - Fax:520-229-9336
Practice Address - Street 1:2986 W INA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2154
Practice Address - Country:US
Practice Address - Phone:520-229-9355
Practice Address - Fax:520-229-9336
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ82644OtherMEDICARE GROUP PIN
AZU95908Medicare UPIN
AZ82646Medicare PIN