Organization Name: | PHOENIX SPORTS & SPINAL MEDICINE PLLC |
NPI Number: | 1437489127 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J JAREMBEK (OWNER) |
Mailing Address: | 15288 W. Brookside Lane Ste. 139 Surprise |
State: | AZ US |
Postal Code: | 853743990 |
Phone Number: | 6022121122 |
Fax Number: | 6022121123 |
NPI Enumeration Date: | 01/03/2010 |
NPI Last Update Date: | 05/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 7379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |