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DUCASSE CHIROPRACTIC INC NPI 1538324421


NPI Information

NPI: 1538324421
Provider Name: DUCASSE CHIROPRACTIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 32D2081082

Address:
601 N 1ST ST
SUITE B
GRANTS, NM
ZIP 87020
Phone: (505) 287-5377
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DUCASSE CHIROPRACTIC INC is a chiropractor in Grants, 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. DUCASSE CHIROPRACTIC INC NPI is 1538324421. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 N 1ST ST
SUITE B
GRANTS, NM
ZIP 87020-703
Phone: (505) 287-5377
Fax: (505) 287-5508

The provider's authorized official is Rose A Ducasse .
The authorized official title is President and has the following contact phone number (505) 287-5377.

The CLIA number assigned to this NPI record is 32D2081082 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2008 and was last updated on 1/14/2014.


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
1111N00000XChiropractor1749NEW MEXICOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
109203818MEDICAIDNEW MEXICO
2NMB2291MEDICARE PINNEW MEXICO

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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