| Cactus Chiropractic Clinic Llc | |
|
8426 W Peoria Ave Ste B Peoria AZ 85345 | |
| (623) 979-3998 | |
| (623) 878-5976 |
| Full Name | Cactus Chiropractic Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8426 W Peoria Ave Ste B, Peoria, Arizona |
| Authorized Official Name and Position | Catherine A Devore Meehan (OWNER) |
| Authorized Official Contact | 6239793998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cactus Chiropractic Clinic Llc 8426 W Peoria Ave Ste B Peoria AZ 85345 Ph: (623) 979-3998 | Cactus Chiropractic Clinic Llc 8426 W Peoria Ave Ste B Peoria AZ 85345 Ph: (623) 979-3998 |
| NPI Number | 1538267760 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 2961469465 |
|---|---|
| Medicare Enrollment ID | O20041216000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538267760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Arizona) | Primary |
| Provider Name | Catherine A Devore Meehan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497865661 PECOS PAC ID: 3577524255 Enrollment ID: I20041026000245 |
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