Embodied Soul Chiropractic
Chiropractor in Albuquerque, NM. Organization (NPI-2).
NPI number1982152237
StatusActive
Last updated in NPPESSep 15, 2016
Details
- NPI
- 1982152237
- Entity type
- Organization (NPI-2)
- Legal business name
- Embodied Soul Chiropractic
- Organization subpart
- No
- Enumeration date
- Sep 15, 2016
- Last updated
- Sep 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2146 | NM | Yes |
Practice location
5305 Heritage Ct NeAlbuquerque, NM 87109-3178
Phone 505-822-5001
Mailing address
5305 Heritage Ct NeAlbuquerque, NM 87109-3178
Phone 505-822-5001
Authorized official
Randall Adam Polgar
Doctor Of Chiropractic
4083731358
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All 227 Chiropractor providers in Albuquerque · All 29,333 providers in Albuquerque
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