Provider Demographics
NPI:1548313364
Name:POSTURE DOCS, INC
Entity type:Organization
Organization Name:POSTURE DOCS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-213-9941
Mailing Address - Street 1:915 SANDIA ST
Mailing Address - Street 2:APT/SUITE
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-3987
Mailing Address - Country:US
Mailing Address - Phone:480-213-9941
Mailing Address - Fax:
Practice Address - Street 1:915 SANDIA ST
Practice Address - Street 2:APT/SUITE
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-3987
Practice Address - Country:US
Practice Address - Phone:480-213-9941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3961111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ74912Medicare ID - Type UnspecifiedGROUP MEDICARE
AZT-41351Medicare UPIN