Munderloh Chiropractic
LBN: Proforma Health Pllc
Munderloh Chiropractic is an health care organization with primary practice located at 1501 S Yale St Suite 250, Flagstaff AZ 86001-7304. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology. Chiropractic Providers / Chiropractor is the primary health care specialty.
Proforma Health Pllc can be contacted via phone (928) 556-0707, or through Munderloh, Timothy James via phone (928) 556-0707.
Contact Information
Primary practice address
1501 S Yale St Suite 250
Flagstaff AZ 86001-7304
Phone: (928) 556-0707
Fax: (928) 779-2223
Website:
Authorized official contact:
Name: Munderloh, Timothy James Doctor of Chiropractic (DC)
Phone: (928) 556-0707
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Chiropractic Providers / Neurology | 111NN0400X |
Profile Details
| NPI number | 1326393927 |
|---|---|
| LBN Legal business name | Proforma Health Pllc |
| DBA Doing business as | Munderloh Chiropractic |
| Authorized official | Munderloh, Timothy James Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 19th, 2012 |
| Last updated | Jul 19th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326393927 | NPPES |
| Arizona | Other | 1104883164 | PROVIDER NPI |
| Arizona | Other | 5935 | PROVIDER NPI |
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