Provider Demographics
NPI:1528954567
Name:JAYS CHIROPRACTIC PC
Entity type:Organization
Organization Name:JAYS CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:DC LAC
Authorized Official - Phone:520-364-6463
Mailing Address - Street 1:1101 N SAN ANTONIO AVE
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:AZ
Mailing Address - Zip Code:85607-2419
Mailing Address - Country:US
Mailing Address - Phone:520-364-6463
Mailing Address - Fax:520-208-9729
Practice Address - Street 1:1101 N SAN ANTONIO AVE
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:AZ
Practice Address - Zip Code:85607-2419
Practice Address - Country:US
Practice Address - Phone:520-364-6463
Practice Address - Fax:520-208-9729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center