Provider Demographics
NPI:1063655793
Name:ABSOLUTE CHIROPRACTIC
Entity Type:Organization
Organization Name:ABSOLUTE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-908-1990
Mailing Address - Street 1:4500 ARROWHEAD RIDGE DR SE STE 102
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-5986
Mailing Address - Country:US
Mailing Address - Phone:505-867-1122
Mailing Address - Fax:866-929-7166
Practice Address - Street 1:4500 ARROWHEAD RIDGE DR SE STE 102
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-5986
Practice Address - Country:US
Practice Address - Phone:505-867-1122
Practice Address - Fax:866-929-7166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-10
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty