Provider Demographics
NPI:1942669460
Name:AAAHH CHIROSPA LLC
Entity Type:Organization
Organization Name:AAAHH CHIROSPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:E
Authorized Official - Last Name:MANSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-884-0044
Mailing Address - Street 1:717 ENCINO PL NE
Mailing Address - Street 2:STE 24
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2611
Mailing Address - Country:US
Mailing Address - Phone:505-884-0044
Mailing Address - Fax:505-881-7393
Practice Address - Street 1:717 ENCINO PL NE
Practice Address - Street 2:STE 24
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2611
Practice Address - Country:US
Practice Address - Phone:505-884-0044
Practice Address - Fax:505-881-7393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0900XChiropractic ProvidersChiropractorInternistGroup - Single Specialty