Provider Demographics
NPI:1952587180
Name:AZNAR, INC.
Entity type:Organization
Organization Name:AZNAR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:AZNAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-221-7012
Mailing Address - Street 1:555 S STATE ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-6398
Mailing Address - Country:US
Mailing Address - Phone:801-221-7012
Mailing Address - Fax:
Practice Address - Street 1:555 S STATE ST
Practice Address - Street 2:SUITE 203
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-6398
Practice Address - Country:US
Practice Address - Phone:801-221-7012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3083871-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty