Provider Demographics
NPI:1033424502
Name:HEALING HAPPENS NM, LLC
Entity Type:Organization
Organization Name:HEALING HAPPENS NM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBSON-SHOEMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC-APC
Authorized Official - Phone:505-271-8888
Mailing Address - Street 1:2730 SAN PEDRO DR NE
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-3334
Mailing Address - Country:US
Mailing Address - Phone:505-271-8888
Mailing Address - Fax:505-881-2129
Practice Address - Street 1:2730 SAN PEDRO DR NE
Practice Address - Street 2:SUITE B-1
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-3334
Practice Address - Country:US
Practice Address - Phone:505-271-8888
Practice Address - Fax:505-881-2129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-09
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1530111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMU88605Medicare UPIN