Provider Demographics
NPI:1871370536
Name:FUHR CHIROPRACTIC CLINIC PA
Entity type:Organization
Organization Name:FUHR CHIROPRACTIC CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:PETERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-224-0004
Mailing Address - Street 1:3714 E INDIAN SCHOOL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-5107
Mailing Address - Country:US
Mailing Address - Phone:602-224-0004
Mailing Address - Fax:602-224-1182
Practice Address - Street 1:3714 E INDIAN SCHOOL RD STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-5107
Practice Address - Country:US
Practice Address - Phone:602-224-0004
Practice Address - Fax:602-224-1182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center