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DIAMONDBACK WELLNESS CENTER LLC NPI 1336528918


NPI Information

NPI: 1336528918
Provider Name: DIAMONDBACK WELLNESS CENTER LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
633 KINLEY AVE NW
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 242-1067
Get Directions

DIAMONDBACK WELLNESS CENTER LLC is a chiropractor in Albuquerque, 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. DIAMONDBACK WELLNESS CENTER LLC NPI is 1336528918. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

633 KINLEY AVE NW
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 242-1067

The provider's authorized official is Gina T Ogorzaly .
The authorized official title is Manager and has the following contact phone number (505) 242-1067.

The enumeration date for this NPI number is 5/28/2015 and was last updated on 5/28/2015.


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
1171100000XAcupuncturist230NEW MEXICONo
2111N00000XChiropractor1000NEW 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: 4/28/2024

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