Individual
DR. ANDRE CHESTER FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4580 E GRANT RD, SUITE 160, TUCSON, AZ 85712-2648
(520) 326-2100
(520) 326-2110
Mailing address
5201 S FOX TROT DR, TUCSON, AZ 85746-1116
(520) 331-2036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7265
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036605
ASHN PROV. #
AZ
01
—
2Z3143
HEALTHNET PROV. # ID
AZ
01
—
3949
AZ PHYSIOTHERAPY #
AZ
01
—
646119
ACN NETWORK PROV. #
AZ
01
—
7265
CHIROPRACTIC LICENSE #
AZ
05
—
943656
—
AZ
01
—
AZ0442830
BCBS #
AZ
Enumeration date
02/19/2007
Last updated
07/09/2007
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