Provider Demographics
NPI:1225897887
Name:ACUPUNCTURE CARE ABQ, LLC
Entity Type:Organization
Organization Name:ACUPUNCTURE CARE ABQ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING LEAD
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:CARBAJAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-235-8209
Mailing Address - Street 1:1776 MONTANO RD NW STE 6
Mailing Address - Street 2:
Mailing Address - City:LOS RANCHOS
Mailing Address - State:NM
Mailing Address - Zip Code:87107-3245
Mailing Address - Country:US
Mailing Address - Phone:505-518-2278
Mailing Address - Fax:505-295-5746
Practice Address - Street 1:1776 MONTANO RD NW STE 6
Practice Address - Street 2:
Practice Address - City:LOS RANCHOS
Practice Address - State:NM
Practice Address - Zip Code:87107-3245
Practice Address - Country:US
Practice Address - Phone:505-518-2278
Practice Address - Fax:505-295-5746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty