Provider Demographics
NPI:1558542993
Name:VACHON, JONI (DC)
Entity Type:Individual
Prefix:DR
First Name:JONI
Middle Name:
Last Name:VACHON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5601 TAYLOR RANCH RD NW
Mailing Address - Street 2:112
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-2661
Mailing Address - Country:US
Mailing Address - Phone:505-898-2222
Mailing Address - Fax:
Practice Address - Street 1:10200 CORRALES RD NW
Practice Address - Street 2:D-1
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-9268
Practice Address - Country:US
Practice Address - Phone:505-897-2682
Practice Address - Fax:505-792-2348
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1610111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation