Grgula, Leisa Marie Melody

Grgula, Leisa Marie Melody is an individual health care provider with primary practice located at 18261 N Pima Rd Ste 115 , Scottsdale AZ 85255-6232. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Grgula, Leisa Marie Melody can be contacted via phone (602) 493-2228.

Contact Information

Primary practice address
18261 N Pima Rd Ste 115 Scottsdale AZ 85255-6232
Fax: (602) 493-2262
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC5614 Arizona

Profile Details

NPI number 1669471272
LBN Legal business name Grgula, Leisa Marie Melody
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Apr 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669471272 NPPES
Arizona Other AZ0243640 BXBS

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