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CANYON CHIROPRACTIC LLC NPI 1730592072


NPI Information

NPI: 1730592072
Provider Name: CANYON CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 32D2080671

Address:
2505 RIDGE RUNNER RD
LAS VEGAS, NM
ZIP 87701
Phone: (505) 425-9341
Get Directions

CANYON CHIROPRACTIC LLC is a chiropractor in Las Vegas, 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. CANYON CHIROPRACTIC LLC NPI is 1730592072. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2505 RIDGE RUNNER RD
LAS VEGAS, NM
ZIP 87701-972
Phone: (505) 425-9341
Fax: (505) 672-7775

The provider's authorized official is Michael A Palmer .
The authorized official title is Chiropractor and has the following contact phone number (505) 425-9341.

The CLIA number assigned to this NPI record is 32D2080671 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2014 and was last updated on 9/24/2019.


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
1111N00000XChiropractor2097NEW 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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