Provider Demographics
NPI:1356578546
Name:CAREFREE ACUPUNCTURE & CHIROPRACTIC CLINIC P.C.
Entity type:Organization
Organization Name:CAREFREE ACUPUNCTURE & CHIROPRACTIC CLINIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.C.
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:AMARO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-488-9647
Mailing Address - Street 1:PO BOX 2929
Mailing Address - Street 2:
Mailing Address - City:CAREFREE
Mailing Address - State:AZ
Mailing Address - Zip Code:85377-2929
Mailing Address - Country:US
Mailing Address - Phone:480-488-9647
Mailing Address - Fax:480-488-8528
Practice Address - Street 1:7518 E. ELBOW BEND
Practice Address - Street 2:SUITE A7
Practice Address - City:CAREFREE
Practice Address - State:AZ
Practice Address - Zip Code:85377
Practice Address - Country:US
Practice Address - Phone:480-488-9647
Practice Address - Fax:480-488-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ065171100000X
AZ1928225100000X
AZ03900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1477683043OtherINDIVIDUAL NPI
AZZ492501232Medicare PIN