Provider Demographics
NPI:1013388362
Name:HONU LLC
Entity Type:Organization
Organization Name:HONU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:S
Authorized Official - Last Name:ATCHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-265-5651
Mailing Address - Street 1:8004 PENNSYLVANIA CIR NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7824
Mailing Address - Country:US
Mailing Address - Phone:505-265-5651
Mailing Address - Fax:505-265-8671
Practice Address - Street 1:8004 PENNSYLVANIA CIR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-7824
Practice Address - Country:US
Practice Address - Phone:505-265-5651
Practice Address - Fax:505-265-8671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1651111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty