Provider Demographics
NPI:1497554976
Name:LIFE CHIROPRACTIC NORTH SCOTTSDALE LLC
Entity type:Organization
Organization Name:LIFE CHIROPRACTIC NORTH SCOTTSDALE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIONISIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-300-4040
Mailing Address - Street 1:438 W DESERT FLOWER LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85045-0449
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8900 E PINNACLE PEAK RD STE E5
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-3648
Practice Address - Country:US
Practice Address - Phone:623-302-1697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty