Maxim Chiropractic Two

LBN: Maxim Chiropractic Two
Maxim Chiropractic Two is an health care organization with primary practice located at 1337 S Gilbert Rd Suite 105, Mesa AZ 85204-6073. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Maxim Chiropractic Two can be contacted via phone (480) 635-1718, or through Fossum, Justin via phone (480) 222-5170.

Contact Information

Primary practice address
1337 S Gilbert Rd Suite 105 Mesa AZ 85204-6073
Phone: (480) 635-1718
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fossum, Justin
Phone: (480) 222-5170

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1073667846
LBN Legal business name Maxim Chiropractic Two
DBA Doing business as
Authorized official Fossum, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073667846 NPPES
Arizona Other AZ0447360 BLUE CROSS BLUE SHIELD

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