Provider Demographics
NPI:1659898591
Name:LOS ALAMOS CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:LOS ALAMOS CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SAVOIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-662-3022
Mailing Address - Street 1:2610 TRINITY DR STE 14
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544-2362
Mailing Address - Country:US
Mailing Address - Phone:505-662-3022
Mailing Address - Fax:
Practice Address - Street 1:2610 TRINITY DR STE 14
Practice Address - Street 2:
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544-2362
Practice Address - Country:US
Practice Address - Phone:505-662-3022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-22
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1377111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty