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CLASSIC CHIROPRACTIC CLINIC PC NPI 1194056200


NPI Information

NPI: 1194056200
Provider Name: CLASSIC CHIROPRACTIC CLINIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
401 N UNION AVE
ROSWELL, NM
ZIP 88201
Phone: (575) 623-9983
Get Directions

CLASSIC CHIROPRACTIC CLINIC PC is a chiropractor in Roswell, NM. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CLASSIC CHIROPRACTIC CLINIC PC NPI is 1194056200. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 N UNION AVE
ROSWELL, NM
ZIP 88201-948
Phone: (575) 623-9983
Fax: (575) 623-9982

The provider's authorized official is Robert Wayne Whited .
The authorized official title is President and has the following contact phone number (575) 623-9983.

The enumeration date for this NPI number is 1/29/2010 and was last updated on 1/29/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor590NEW MEXICOYes

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: 11/14/2023

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