Portillo, Mario Manuel

Portillo, Mario Manuel is an sole proprietor health care provider with primary practice located at 20860 N Tatum Blvd Ste 290 , Phoenix AZ 85050-4282. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Rehabilitation, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Portillo, Mario Manuel can be contacted via phone (480) 563-1144.

Contact Information

Primary practice address
20860 N Tatum Blvd Ste 290 Phoenix AZ 85050-4282
Phone: (480) 563-1144
Fax: (480) 563-2371
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 8652 Arizona
Chiropractic Providers / Chiropractor 111N00000X 8652 Arizona

Profile Details

NPI number 1770007361
LBN Legal business name Portillo, Mario Manuel
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2017
Last updated Feb 28th, 2023 - about last year

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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