Provider Demographics
NPI:1902972839
Name:HALUZAN, SUSAN KATHY (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:KATHY
Last Name:HALUZAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9393 E. PALO BREA BEND
Mailing Address - Street 2:UNIT 2018
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6511
Mailing Address - Country:US
Mailing Address - Phone:480-993-7298
Mailing Address - Fax:
Practice Address - Street 1:7900 E. THOMPSON PEAK PARKWAY
Practice Address - Street 2:SUITE 104
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6511
Practice Address - Country:US
Practice Address - Phone:480-993-7298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7777111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor