Marjorie Chinnock, ARRT
Individual provider Active NPI Radiologic Technologist · Polacca, AZ
NPI 1891010807 · NPPES record last updated Apr 1, 2010
Key facts
- NPI
- 1891010807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiologic Technologist 247100000X
- License
- CRT - 12784 (AZ)
- Practice address
- M.P. 388 State Route 264
Polacca, AZ 86042-4000 - Phone
- (928) 737-6000
- Fax
- (928) 737-6069
- NPI assigned
- Apr 1, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRT - 12784 | AZ | MD | Radiologic Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | CRT - 12784 | AZ | Yes |
Addresses
Primary practice location
M.P. 388 State Route 264
Polacca, AZ 86042-4000
Mailing address
PO Box 4000
Polacca, AZ 86042-4000
Phone (928) 737-6000
Other providers in Polacca, AZ
- Petra Bennefield
- Susan Elizabeth Bigley
- Yolanda Bydonie
- Micaela Elise Campbell
- Kayla Carrillo
- Korel Leshaun Chisley
- Valerie Cline
- Emma Guadalupe Cortez
- Kiley Marissa Cox
- Tracy Denet
All providers in Polacca, AZ · Radiologic Technologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.