Individual
THOMAS J JANUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CH
Contact information
Practice address
728 N MONTEZUMA ST, STE A, PRESCOTT, AZ 86301-2090
(928) 778-0147
(928) 778-0772
Mailing address
728 N MONTEZUMA, STE A, PRESCOTT, AZ 86301-2090
(928) 778-0147
(928) 778-0772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0749
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0930060
BCBS
—
Enumeration date
05/05/2006
Last updated
02/10/2015
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