Provider Demographics
NPI:1619773264
Name:EMBODY CHIROPRACTIC CENTER PLLC
Entity type:Organization
Organization Name:EMBODY CHIROPRACTIC CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PILAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BURMAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-336-1624
Mailing Address - Street 1:80 ACOMA BLVD S STE 104-106
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-6925
Mailing Address - Country:US
Mailing Address - Phone:714-396-2284
Mailing Address - Fax:
Practice Address - Street 1:80 ACOMA BLVD S STE 104-106
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-6925
Practice Address - Country:US
Practice Address - Phone:928-453-1055
Practice Address - Fax:928-453-1057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-24
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty