Provider Demographics
NPI:1033458146
Name:CHIROPRACTIC CARING FOR YOU LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC CARING FOR YOU LLC
Other - Org Name:EDWARD WADE RICHARDSON SOLE MEMBER
Other - Org Type:Other Name
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:575-524-0400
Mailing Address - Street 1:2151 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-1128
Mailing Address - Country:US
Mailing Address - Phone:575-524-0400
Mailing Address - Fax:575-524-0595
Practice Address - Street 1:2151 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-1128
Practice Address - Country:US
Practice Address - Phone:575-524-0400
Practice Address - Fax:575-524-0595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-08
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM962261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service