Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 7711 | AZ |
NPI | 1396955464 |
---|---|
Provider Name | Que Karbassy |
First Address | Chandler, AZ 85226-6221 |
Second Address | Chandler, AZ 85226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 17/02/2014 |