Organization
ADVANCED CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J. JANUSKI D.C. (PRESIDENT)
(928) 778-0147
Entity
Organization
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 ST 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
—
1467400879
INDIVIDUAL PIN
AZ
Enumeration date
11/18/2009
Last updated
11/18/2009
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