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Contact Information

PURA VIDA CHIROPRACTIC, PLC
574 N ARIZONA AVE
CHANDLER, AZ85225-4589
 Phone: 480-963-5832
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for PURA VIDA CHIROPRACTIC, PLC

NPI # 1194980540
LBN Legal business name PURA VIDA CHIROPRACTIC, PLC
Authorized official TIMOTHY BRADFORD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2008
Last updated 03/05/2009 - About 17 years ago
Identifiers
AZ License # 7935
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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