Provider Demographics
NPI:1336471317
Name:APPLE CHIROPRACTIC CENTER OF HOBBS
Entity Type:Organization
Organization Name:APPLE CHIROPRACTIC CENTER OF HOBBS
Other - Org Name:VAUGHN R DITTO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VAUGHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:DITTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:575-397-3356
Mailing Address - Street 1:205 E SANGER ST
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-4403
Mailing Address - Country:US
Mailing Address - Phone:575-397-3356
Mailing Address - Fax:575-397-6107
Practice Address - Street 1:205 E SANGER ST
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-4403
Practice Address - Country:US
Practice Address - Phone:575-397-3356
Practice Address - Fax:575-397-6107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1097111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM00K095OtherBCBS
NMU02499Medicare UPIN