Dr. Zackery Allen Conklin
Chiropractic Sports Physician
2929 N 75th Ave Ste 15
Phoenix
, Arizona 85033-5443
Dr. Zackery Allen Conklin
Chiropractic Sports Physician
2929 N 75th Ave Ste 15
Phoenix
, Arizona 85033-5443
(623) 218-9595
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Zackery Allen Conklin
- 2929 N 75th Ave Ste 15
- Phoenix, AZ
- Zip : 85033-5443
- Phone : (623) 218-9595
Second Address
- Dr. Zackery Allen Conklin
- 2929 N 75th Ave Ste 15
- Phoenix, AZ
- Zip : 85033-5443
- Fax : (623) 218-0606
- Phone : (623) 218-9595
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 8369 | AZ |
National Provider Identifier
| NPI | 1265855647 |
|---|---|
| Provider Name | Dr. Zackery Allen Conklin |
| First Address | Phoenix, AZ 85033-5443 |
| Second Address | Phoenix, AZ 85033-5443 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/01/2014 |
| Last Update Date | 21/01/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.