Provider Demographics
NPI:1952548281
Name:SCHEMBRI, NICK (DC)
Entity Type:Individual
Prefix:DR
First Name:NICK
Middle Name:
Last Name:SCHEMBRI
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 1:3220 LAKESIDE VLG
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-7647
Mailing Address - Country:US
Mailing Address - Phone:928-277-4992
Mailing Address - Fax:951-696-7335
Practice Address - Street 1:3220 LAKESIDE VLG
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-7647
Practice Address - Country:US
Practice Address - Phone:928-277-4992
Practice Address - Fax:951-696-7335
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31057111N00000X
AZAZ9028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ9028OtherSTATE LICENSE
AZ1699442590OtherGROUP NPI
CA1952548281OtherNPI