1524 Corporation Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5724 Issued in AZ

Legal business name

1524 CORPORATION INC.

Doing business as

Dr. Sue Probyn

Practice address

6047 E University Dr
Mesa, AZ 85205-7517

Phone

(480) 985-3040

Fax

(480) 985-3040

NPI assigned

Mar 6, 2008

Last updated

Oct 25, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Susana Marlene Probyn, D.C.NPI 1871616938

Title

President

Phone

(480) 985-3040

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sue Probyn Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susana Marlene Probyn, D.C.

  • Chiropractor
  • Mesa, AZ
  • NPI 1871616938
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1174793004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057517",
            "telephone_number": "480-985-3040",
            "fax_number": "480-985-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057517",
            "telephone_number": "480-985-3040",
            "fax_number": "480-985-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1524 CORPORATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "PROBYN",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "MARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-985-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Sue Probyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.