Provider Demographics
NPI:1003938531
Name:STAUBER, CATHERINE J (DC, ND)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:J
Last Name:STAUBER
Suffix:
Gender:F
Credentials:DC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 HOT SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-3441
Mailing Address - Country:US
Mailing Address - Phone:505-454-9525
Mailing Address - Fax:
Practice Address - Street 1:2002 HOT SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-3441
Practice Address - Country:US
Practice Address - Phone:505-454-9525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1265111N00000X
OR768175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered175F00000XOther Service ProvidersNaturopath