FULLY WIRED INC NPI 1144403239

NPI Information

  • NPI: 1144403239
  • Provider Name: FULLY WIRED INC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: THE BACK ALLEY
  • Address: 10515 N ORACLE RD
    SUITE 167
    ORO VALLEY, AZ
    ZIP 85737
  • Phone: (520) 877-2666

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NPI Details

FULLY WIRED INC is a clinic center in Oro Valley, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FULLY WIRED INC NPI is 1144403239. The provider is registered as an organization entity type.
The provider Is Doing Business As The Back Alley.

The provider's business location address is:

10515 N ORACLE RD
SUITE 167
ORO VALLEY, AZ
ZIP 85737-377
Phone: (520) 877-2666
Fax: (520) 877-9183

The provider's authorized official is Darl Ross Shipley .
The authorized official title is Chiropractor and has the following contact phone number (520) 877-2666.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 4/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center4277ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Z73756MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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