Organization
SOLEIL CHIROPRACTIC AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIE ANNE BUSTAMANTE DC (OWNER)
(480) 603-6443
Entity
Organization
Contact information
Practice address
365 N 4TH AVE, PHOENIX, AZ 85003-1505
(480) 603-6443
Mailing address
2036 E ASPEN DR, TEMPE, AZ 85282-2909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7423
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z119677
MEDICARE PTAN
AZ
Enumeration date
04/19/2011
Last updated
07/20/2011
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