Individual
R JACOB HOERR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8112 N 7TH ST, PHOENIX, AZ 85020
(602) 943-4291
Mailing address
8112 N 7TH ST, PHOENIX, AZ 85020
(602) 943-4291
(602) 861-0584
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5425
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z4028
HEALTH NET ID
—
01
—
23075425
WORK COMP
AZ
01
—
2455318
AETNA
—
01
—
4400479
UNITED HEALTHCARE
—
01
—
AZ0934580
BCBS OF AZ
AZ
Enumeration date
05/10/2006
Last updated
07/08/2007
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