Provider Demographics
NPI:1689796013
Name:ZACHARY J. WELLS D.C. PLLC
Entity type:Organization
Organization Name:ZACHARY J. WELLS D.C. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-217-3586
Mailing Address - Street 1:150 E SHARON AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4731
Mailing Address - Country:US
Mailing Address - Phone:623-217-3586
Mailing Address - Fax:866-821-3750
Practice Address - Street 1:3170 W CAREFREE HWY
Practice Address - Street 2:SUITE 5
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85086-3205
Practice Address - Country:US
Practice Address - Phone:623-587-9036
Practice Address - Fax:623-587-9250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-05
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7137111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty