Provider Demographics
NPI:1538362652
Name:GOT CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:GOT CHIROPRACTIC, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:VINCK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-353-8888
Mailing Address - Street 1:3549 W THOMAS RD
Mailing Address - Street 2:#103
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85019-4444
Mailing Address - Country:US
Mailing Address - Phone:602-353-8888
Mailing Address - Fax:602-353-8889
Practice Address - Street 1:3549 W THOMAS RD
Practice Address - Street 2:#103
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85019-4444
Practice Address - Country:US
Practice Address - Phone:602-353-8888
Practice Address - Fax:602-353-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7093111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty