Provider Demographics
NPI:1750761920
Name:CORE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:CORE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-221-3603
Mailing Address - Street 1:2665 E BROADWAY RD
Mailing Address - Street 2:SUITE B112
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-1572
Mailing Address - Country:US
Mailing Address - Phone:480-221-3603
Mailing Address - Fax:480-610-5433
Practice Address - Street 1:2665 E BROADWAY RD
Practice Address - Street 2:SUITE B112
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-1572
Practice Address - Country:US
Practice Address - Phone:480-221-3603
Practice Address - Fax:480-610-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty